NPI 1194485250

Colleen J. McNulty

Practitioner Pharmacist Diberville, MS

Practice location

Address: 12007 Lamey Bridge Rd, Diberville, MS 39540-8907
Phone: (228) 392-2388
Mailing address: 831 Cedar Lake Rd APT 1310, Biloxi, MS 39532-4660

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence E100320 (MS)

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Registry record

NPI: 1194485250
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Dec 2021
Record last updated: 29 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.