DR. Carissa A Bull, PHARM.D.

NPI #1548389828 in Moline, Illinois

Provider Information

NPI Number: 1548389828
Entity Type: Individual
Name: DR. Carissa A Bull, PHARM.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM.D.
Enumeration Date: Mar 28, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4218 AVENUE OF THE CITIES
City: Moline
State: Illinois
ZIP Code: 61265-4544
Phone: (309) 764-4373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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