Individual
DR. TAMMY SUE BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
124 S MAIN ST, MAQUOKETA, IA 52060-3034
(563) 652-5611
(563) 652-6242
Mailing address
8 BLACKHAWK DR, ELDRIDGE, IA 52748-9528
(563) 285-5293
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18985
IA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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