Individual
MR. DEWEY RUSSELL BULLINGTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
395 N HIGHWAY 52, MONCKS CORNER, SC 29461-3919
(843) 899-6601
Mailing address
2666 MAGNOLIA PLACE CT, MOUNT PLEASANT, SC 29466-7913
(864) 934-1974
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7584
SC
Other
Enumeration date
09/26/2009
Last updated
09/26/2009
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