STEPHEN A FULLER

TUBA CITY, AZ
NPI1699022194
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NM  3699)
Enumeration Date2012-08-14
Last Update Date2012-08-14
Business Address
-- STEPHEN A FULLER rph
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2755
Mailing Address
-- STEPHEN A FULLER rph
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2755
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