Individual
DR. MICHAEL BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 W MAIN ST, OKOLONA, MS 38860-1425
(901) 831-8669
Mailing address
210 W MAIN ST, OKOLONA, MS 38860-1425
(901) 831-8669
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E16588
MS
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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