Individual
ANNYE G MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3716 MORGANTON RD, FAYETTEVILLE, NC 28303-4963
(910) 868-5103
Mailing address
4280 TATUM DR, #301, FAYETTEVILLE, NC 28314-0478
(954) 319-5478
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22966
NC
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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