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Individual

DR. MATTHEW R MCCULLOCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D

Contact information

Practice address
1103 CIRCULO MERCADO, RIO RICO, AZ 85648-6248
(520) 761-2128
(520) 281-1112
Mailing address
825 N GRAND AVE STE 100, NOGALES, AZ 85621-1061
(520) 761-2128
(520) 281-1112

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
S016557
AZ

Other

Enumeration date
07/12/2011
Last updated
08/15/2024
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