Individual
CAROL JEAN MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1510 COOPER POINT RD SW, OLYMPIA, WA 98502-5734
(360) 570-8008
Mailing address
PO BOX 110, LITTLEROCK, WA 98556-0120
(360) 456-2340
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11343
WA
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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