| NPI | 1801221650 |
|---|---|
| Doing Business As | FULLERTON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | IL HWANG President 773-887-4052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 054.018328) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2014-05-05 |