Individual
ANDREA BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 LINCOLN WAY E, MASSILLON, OH 44646-6951
(330) 830-6459
Mailing address
1027 QUEEN ANNE DR NW, MASSILLON, OH 44647-4256
(330) 280-4317
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03226193
OH
Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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