Grant Mccullough, PHARMD, RPH

NPI #1619570975 in Whitewater, Wisconsin

Provider Information

NPI Number: 1619570975
Entity Type: Individual
Name: Grant Mccullough, PHARMD, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD, RPH
Enumeration Date: Nov 19, 2020
Last Updated: Nov 19, 2020

Practice Location

Address: 1173 W MAIN ST
City: Whitewater
State: Wisconsin
ZIP Code: 53190-1672
Phone: (262) 473-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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