Individual
ROBERT MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1173 W MAIN ST, WHITEWATER, WI 53190-1672
(262) 473-5087
Mailing address
1173 W MAIN ST, WHITEWATER, WI 53190-1672
(262) 473-5087
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10070-040
WI
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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