Individual
DR. CARISSA A BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4218 AVENUE OF THE CITIES, MOLINE, IL 61265-4544
(309) 764-4373
(309) 764-4593
Mailing address
2106 15TH STREET A, MOLINE, IL 61265-4820
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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