Individual
HALEY BULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
112 SUNSET DR, JOHNSON CITY, TN 37604-2503
(423) 283-0522
Mailing address
9 LAKE VILLAGE CT, JOHNSON CITY, TN 37601-1395
(615) 788-2096
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000047179
TN
183500000X
Pharmacist
0202221452
VA
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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