Individual
BECKY L MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
22056 US RTE 11, WATERTOWN, NY 13601
(315) 782-6530
Mailing address
22435 RIVERGLADE DR, WATERTOWN, NY 13601-1773
(315) 785-8129
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
039525
NY
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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