Individual
ALICE E MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
2864 CHARLESTOWN RD, NEW ALBANY, IN 47150-1978
(812) 948-0953
(812) 948-1368
Mailing address
3122 LACEWOOD LN, NEW ALBANY, IN 47150-9478
(502) 641-0695
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
014295
KY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26020885A
IN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
33349
TN
Other
Enumeration date
12/15/2019
Last updated
12/15/2019
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