Candace Cullop, PHARM D
Individual provider Active NPI Pharmacist · Guymon, OK
NPI 1710466941 · NPPES record last updated Aug 8, 2018
Key facts
- NPI
- 1710466941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14241 (OK)
- Practice address
- 115 Medical Dr
Guymon, OK 73942-3606 - Phone
- (158) 033-8756
- NPI assigned
- Aug 8, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14241 | OK | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14241 | OK | Yes |
Addresses
Primary practice location
115 Medical Dr
Guymon, OK 73942-3606
Mailing address
115 Medical Dr
Guymon, OK 73942-3606
Phone (158) 033-8756
Other providers in Guymon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.