FULLER SELLE LLC

MESA, AZ
NPI1053573154
Doing Business AsTRILLIUM SPECIALTY HOSPITAL EAST VALLEY
Entity TypeOrganization
Authorized ContactGARY ALEXANDER
CFO
210-745-4000
Organization Subpart ?No
Primary Taxonomy3336L0003X Pharmacy Long Term Care Pharmacy
(Licence: AZ  Y004869)
Additional Taxonomies3336C0004X Pharmacy Compounding Pharmacy
3336I0012X Pharmacy Institutional Pharmacy
Enumeration Date2008-06-30
Last Update Date2008-06-30
Business Address
FULLER SELLE LLC
215 S POWER RD
MESA, AZ 85206-5235
Phone number: 408-985-6992
Mailing Address
FULLER SELLE LLC
777 E SONTERRA BLVD STE 300
SAN ANTONIO, TX 78258-4246
Phone number: