Mccullough Pharmacy INC

NPI #1881703676 in Walworth, Wisconsin

Provider Information

NPI Number
1881703676
Entity Type
Organization
Organization Name
Mccullough Pharmacy INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 29, 2006
Last Updated
Sep 13, 2007

Practice Location

Address
547 KENOSHA ST
ZIP Code
53184-9512
Phone
(262) 275-2137

Authorized Official

Name
JAMES MCCULLOUGH
Title
PRESIDENT
Phone
(262) 248-8582

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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