Individual
DOUGLAS ALLEN CULLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
20 CHERRY TREE SHOPPING CTR, WASHINGTON, IL 61571-2170
(309) 886-2408
(309) 886-2415
Mailing address
705 SOMERSET DR, GERMANTOWN HILLS, IL 61548-9111
(309) 635-3747
(309) 886-2415
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-036888
IL
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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