Individual
THOMAS BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1526 6TH AVE SE, DECATUR, AL 35601-4918
(256) 353-1195
Mailing address
1526 6TH AVE SE, DECATUR, AL 35601-4918
(256) 353-1195
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18943
AL
Other
Enumeration date
01/24/2016
Last updated
01/24/2016
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