Richard Fuller
Pharmacist in Pensacola, FL. Individual provider (NPI-1).
NPI number1124635677
StatusActive
Last updated in NPPESSep 29, 2020
Details
- NPI
- 1124635677
- Entity type
- Individual (NPI-1)
- Name
- Richard Fuller
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 29, 2020
- Certification date
- Sep 29, 2020
- Last updated
- Sep 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | ps19123 | FL | Yes |
Practice location
2899 N 12th AvePensacola, FL 32503-4001
Phone 850-438-7568 · Fax 850-438-0683
Mailing address
2899 N 12th AvePensacola, FL 32503-4001
Phone 850-438-7568 · Fax 850-438-0683
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