Individual
DR. WILLIAM WAYNE MCCULLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH., PHARMD
Contact information
Practice address
3001 E TEXAS ST, BOSSIER CITY, LA 71111-3207
(318) 742-6600
(318) 742-4207
Mailing address
3302 EASTWOOD DR, SHREVEPORT, LA 71105-2560
(318) 617-0990
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9269
LA
Other
Enumeration date
03/20/2007
Last updated
09/26/2011
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