Individual provider · Type 1 NPI

Cory Lee Edward McCullough

Pharmacy Technician · Pocatello, ID

NPI number 1093630600 Active

Practice location

330 E Benton St
Pocatello, ID 83201-6526

Call (208) 233-0651 Map

Fax (208) 478-1731

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Technician Primary 183700000X7861367 (ID)

Pharmacy Technician: A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

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About NPI 1093630600

Cory Lee Edward McCullough's National Provider Identifier is 1093630600, issued on Aug 12, 2026. The primary taxonomy on file is Pharmacy Technician (183700000X), and the practice location is in Pocatello, ID. The record was last updated on Aug 12, 2026.