Individual
MR. MICHAEL THOMAS CULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
610 MIDDLE ST, WEYMOUTH, MA 02189-1130
(781) 803-4003
Mailing address
610 MIDDLE ST, WEYMOUTH, MA 02189-1130
(781) 803-4003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22762
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22762
STATE LICENSE
MA
Enumeration date
05/16/2007
Last updated
03/03/2008
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