Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JETT LAVERN MCCULLOUGH, PHARMACIST
Active Sole ProprietorMR. JETT LAVERN MCCULLOUGH, PHARMACIST is a Pharmacist healthcare provider located in THOMSON, Georgia. NPI 1790992154 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · THOMSON, GA
Registration Details
- NPI Number
- 1790992154
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2007 (19.102879684609 yrs)
- Last Updated
- Jul 8, 2007
- License
-
13447 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
433 W HILL STTHOMSON, GA, 308242116Browse GA providers · Browse ZIP 30824
- Phone
- 7065954842
- Fax
- 7065958665
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in THOMSON, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. ANGELA NORMAN STADLER | RPH | 1588711550 |
| LLINTON M NEAL | — | 1295850881 |
| MELISSA USRY | — | 1063795045 |
| MR. MICHAEL KEITH MCGAHEE | RPH | 1013279801 |
| DR. KAROLINA KAY GRISWOLD | PHARMD | 1942565858 |
| DEXTER DEVINE JONES | PHARMD | 1821331505 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.