EVELYN FULLER

UNION CITY, GA
NPI1689958480
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: GA  021868)
Additional Taxonomies183500000X Pharmacist
(Licence: WI  12094-40)
Enumeration Date2011-09-29
Last Update Date2011-09-29
Business Address
-- EVELYN FULLER RPh
4617 JONESBORO RD
UNION CITY, GA 30291-2048
Phone number: 770-969-7458
Mailing Address
-- EVELYN FULLER RPh
7360 HOBGOOD RD
FAIRBURN, GA 30213-2684
Phone number: 404-200-0531