Provider Demographics
NPI:1043715022
Name:CULPEPPER, CHELSEA MICHELLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:MICHELLE
Last Name:CULPEPPER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 ROCK CREEK DR
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75965-1277
Mailing Address - Country:US
Mailing Address - Phone:936-558-7811
Mailing Address - Fax:
Practice Address - Street 1:4810 NORTH ST
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75965-1876
Practice Address - Country:US
Practice Address - Phone:936-564-1158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-29
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67312183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist