Individual
DR. COLLEEN J. MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12007 LAMEY BRIDGE RD, DIBERVILLE, MS 39540-8907
(228) 392-2388
Mailing address
831 CEDAR LAKE RD APT 1310, BILOXI, MS 39532-4660
(228) 239-0183
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E100320
MS
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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