Individual
GERALD LYN CULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3729 ROSEWOOD DR, COLUMBIA, SC 29205-3531
(803) 231-2003
(803) 231-2004
Mailing address
3729 ROSEWOOD DR, COLUMBIA, SC 29205-3531
(803) 231-2003
(803) 231-2004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
004589
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767123
—
SC
Enumeration date
02/06/2007
Last updated
07/08/2007
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