Individual
DR. DANIELLE TULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2 CRESCENT DR, WEST JEFFERSON, NC 28694-7375
(336) 246-2790
Mailing address
2 CRESCENT DR, WEST JEFFERSON, NC 28694-7375
(336) 246-2790
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30190
NC
Other
Enumeration date
01/30/2021
Last updated
01/30/2021
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