Provider Demographics
NPI:1225304678
Name:CULY, ALEX JEFFERY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:JEFFERY
Last Name:CULY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 N HOWELL ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:HILLSDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49242-1621
Mailing Address - Country:US
Mailing Address - Phone:517-437-4088
Mailing Address - Fax:517-437-4988
Practice Address - Street 1:44 N HOWELL ST
Practice Address - Street 2:SUITE A
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-1621
Practice Address - Country:US
Practice Address - Phone:517-437-4088
Practice Address - Fax:517-437-4988
Is Sole Proprietor?:No
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302040585183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist