Individual
DR. MARILYN NOVELL BULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
UNIVERSITY MEDICAL CTR, BOX 870326, TUSCALOOSA, AL 35487-0001
(276) 732-2353
Mailing address
1605 KATHY LN, FULTONDALE, AL 35068-1464
(276) 732-2353
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202207988
VA
183500000X
Pharmacist
Primary
15543
AL
183500000X
Pharmacist
RP00007154
WV
Other
Enumeration date
09/12/2007
Last updated
07/11/2014
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