Tully, Joseph

Tully, Joseph is an individual health care provider with primary practice located at 977 Highway 98 E , Destin FL 32541-2801. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Tully, Joseph can be contacted via phone (850) 650-4538.

Contact Information

Primary practice address
977 Highway 98 E Destin FL 32541-2801
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS51985 Florida

Profile Details

NPI number 1629477286
LBN Legal business name Tully, Joseph
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2014
Last updated Aug 20th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629477286 NPPES
Florida Other PS51985 PHARMACIST LICENSE NUMBER

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