Individual
DR. MELISSA CROCKETT GULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
102 N 12TH ST, MIDDLESBORO, KY 40965-1028
(606) 248-7689
Mailing address
1315 CHESTER AVENUE, MIDDLESBORO, KY 40965
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011676
KY
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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