E.A. Mccullough, Inc. in Lake Geneva - Community/retail Pharmacy
E.A. Mccullough, Inc. - NPI 1043329824
E.A. Mccullough, Inc. is a Community/retail Pharmacy in Lake Geneva, Wisconsin. E.A. Mccullough, Inc. practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for E.A. Mccullough, Inc. is 1043329824. The last update date is 2008-02-04.
E.A. Mccullough, Inc.'s current location address is 694 S Wells St, Lake Geneva, Wisconsin. You can contact this provider via phone number 2622488582 and fax number 2622488593. The mailing address for E.A. Mccullough, Inc. is 694 S Wells St, Lake Geneva, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | E.A. Mccullough, Inc. |
|---|---|
| Address | 694 S Wells St, Lake Geneva, Wisconsin |
| Phone Number | 2622488582 |
| Fax Number | 2622488593 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mccullough Edward James |
| Credentials | RPH |
| Telephone Number | 2622486226 |
NPI Number Detail
| NPI Number | 1043329824 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2008-02-04 |
Provider Mailing Address Detail
| Address | 694 S Wells St |
|---|---|
| City | Lake Geneva |
| State | Wisconsin (WI) |
| Post Code | 531472106 |
| Phone Number | 2622488582 |
| Fax Number | 2622488593 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 4700 |
|
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33108300 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to E.A. Mccullough, Inc. by the Centers for Medicare & Medicaid Services?
The E.A. Mccullough, Inc. has been issued the NPI (National Provider Identifier) 1043329824 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where E.A. Mccullough, Inc. is located?
The E.A. Mccullough, Inc. is situated at the following address: 694 S Wells St, Lake Geneva, WI, 531472106.
What is the E.A. Mccullough, Inc.'s area of specialization and corresponding taxonomy classification?
The E.A. Mccullough, Inc.'s specialty field is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their specialties.
On what date did the E.A. Mccullough, Inc. receive its 1043329824 assignment from the Centers for Medicare & Medicaid Services?
The E.A. Mccullough, Inc. was assigned its 1043329824 by the Centers for Medicare & Medicaid Services on 2006-08-29.
As of what date was the information regarding E.A. Mccullough, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to E.A. Mccullough, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-02-04.