Individual
DR. PETER T. BULATAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
230 DUNCAN DR BLDG #1440, TUTTLE HEALTH CLINIC, HUNTER ARMY AIRFIELD, GA 31409-0000
(210) 563-8003
Mailing address
542 BRAVES FIELD DR, GUYTON, GA 31312-4596
(210) 563-8003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP034620L
PA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RP034620L
PA
Other
Enumeration date
01/26/2006
Last updated
09/02/2016
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