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Individual

PATRICK JOSEPH MCCULLOUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
8028 BROKEN SPUR LN, LAS VEGAS, NV 89131-4509
(702) 655-8448
Mailing address
8028 BROKEN SPUR LN, LAS VEGAS, NV 89131-4509
(702) 655-8448

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16058
NV

Other

Enumeration date
08/04/2006
Last updated
07/08/2007
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