Individual provider · Type 1 NPI

Jett Lavern McCullough, PHARMACIST

Pharmacist · Thomson, GA

NPI number 1790992154 Active

Practice location

433 W Hill St
Thomson, GA 30824-2116

Fax (706) 595-8665

Mailing address

PO Box 381, 41 Crestview Ave
Warrenton, GA 30828-0381

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X13447 (GA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

2 other providers at this address

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About NPI 1790992154

Jett Lavern McCullough, PHARMACIST's National Provider Identifier is 1790992154, issued on May 16, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Thomson, GA. The record was last updated on Jul 8, 2007.