| NPI | 1134295207 |
|---|---|
| Doing Business As | FULLER MEDICAL CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SYAM POTLURI Pharmacy Manager 410-574-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P05823) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2022-06-17 |