Mccullough Pharmacy Inc in Walworth - Pharmacy

Mccullough Pharmacy Inc - NPI 1881703676

Mccullough Pharmacy Inc is a Pharmacy in Walworth, Wisconsin. Mccullough Pharmacy Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Mccullough Pharmacy Inc is 1881703676. The last update date is 2007-09-13.

Mccullough Pharmacy Inc's current location address is 547 Kenosha St, Walworth, Wisconsin. You can contact this provider via phone number 2622752137 and fax number 2622755743. The mailing address for Mccullough Pharmacy Inc is 547 Kenosha St, Walworth, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mccullough Pharmacy Inc
Address 547 Kenosha St, Walworth, Wisconsin
Phone Number 2622752137
Fax Number 2622755743
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Mccullough James
Telephone Number 2622488582

NPI Number Detail

NPI Number 1881703676
Provider Enumeration Date 2006-08-29
Last Updated Date 2007-09-13

Provider Mailing Address Detail

Address 547 Kenosha St
City Walworth
State Wisconsin (WI)
Post Code 531849512
Phone Number 2622752137
Fax Number 2622755743

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
33086500 WI --
5110022 OTHER ID NUMBER

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FAQs about Mccullough Pharmacy Inc

What is the unique 10-digit identification code issued to Mccullough Pharmacy Inc by the Centers for Medicare & Medicaid Services?

The Mccullough Pharmacy Inc has been assigned the NPI (National Provider Identifier) 1881703676 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Mccullough Pharmacy Inc's facilities are geographically located?

The facilities of Mccullough Pharmacy Inc are physically situated at the following location: 547 Kenosha St, Walworth, WI, 531849512.

What is the Mccullough Pharmacy Inc's specialty and taxonomy code?

The Mccullough Pharmacy Inc's specialty is Pharmacy, and the corresponding taxonomy code is 333600000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1881703676 to Mccullough Pharmacy Inc?

The Mccullough Pharmacy Inc received its 1881703676 assignment from the Centers for Medicare & Medicaid Services on 2006-08-29.

As of what date were the details pertaining to Mccullough Pharmacy Inc last refreshed?

The information related to the Mccullough Pharmacy Inc, including its address, specialty, and other relevant details, was last updated on 2007-09-13.

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