| NPI | 1861990186 |
|---|---|
| Other Name | TREY FULLER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: VA 0202212773) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |