| NPI | 1881703676 |
|---|---|
| Doing Business As | MCCULLOUGHS PRESCRIPTION AND GIFTS |
| Entity Type | Organization |
| Authorized Contact | JAMES MCCULLOUGH President 262-248-8582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 5931042) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-09-13 |