Individual
MR. THOMAS KELTON BULLOCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
703 N MCKENZIE ST, FOLEY, AL 36535-3542
(251) 200-5750
(251) 200-5725
Mailing address
10097 GROVE DR, FAIRHOPE, AL 36532-5777
(228) 216-2501
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17582
AL
183500000X
Pharmacist
D07327
MS
Other
Enumeration date
06/26/2012
Last updated
01/17/2024
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