Individual
DR. BENJAMIN JOHN MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2700 JOHNSTON ST, LAFAYETTE, LA 70503-3242
(337) 232-9317
Mailing address
2700 JOHNSTON ST, LAFAYETTE, LA 70503-3242
(337) 232-9317
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.024192
LA
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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