Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jett Lavern McCullough, PHARMACIST

Individual provider Pharmacist · NPI 1790992154

Mr. Jett Lavern McCullough, PHARMACIST is a Pharmacist in Thomson, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

433 W Hill St
Thomson, GA 30824-2116
Phone: (706) 595-4842
Fax: (706) 595-8665
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 13447 (GA)

Record details

NPI number1790992154
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMACIST
Sole proprietorYes
NPI enumeratedMay 16, 2007
Last updated in NPPESJuly 8, 2007

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