<Unavail>

LBN: E.A. Mccullough, Inc.
<Unavail> is an health care organization with primary practice located at 269 Broad St , Lake Geneva WI 53147-1809. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. E.A. Mccullough, Inc. can be contacted via phone (262) 248-6226, or through Mccullough, James Edward via phone (262) 248-6226.

Contact Information

Primary practice address
269 Broad St Lake Geneva WI 53147-1809
Phone: (262) 248-6226
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mccullough, James Edward RPH
Phone: (262) 248-6226

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 4700 Wisconsin

Profile Details

NPI number 1043329824
LBN Legal business name E.A. Mccullough, Inc.
DBA Doing business as <Unavail>
Authorized official Mccullough, James Edward RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2006
Last updated Feb 4th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043329824 NPPES
Wisconsin MEDICAID 33108300

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