Individual
MRS. MONETTE MARIA MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
10200 SULLIVAN RD, BATON ROUGE, LA 70818-4305
(225) 262-1413
(225) 262-5513
Mailing address
10200 SULLIVAN RD, BATON ROUGE, LA 70818-4305
(225) 262-1413
(225) 262-5513
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14254
LA
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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