Individual
SCOTT BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1660 W LOCUST ST, DAVENPORT, IA 52804-3636
(563) 324-3508
(563) 324-4025
Mailing address
1660 W LOCUST ST, DAVENPORT, IA 52804-3636
(563) 324-3508
(563) 324-4025
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18271
IA
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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