DR. Johnathan T Fuller, PHARM.D.

NPI #1003199233 in Owensboro, Kentucky

Provider Information

NPI Number
1003199233
Entity Type
Individual
Name
DR. Johnathan T Fuller, PHARM.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
PHARM.D.
Enumeration Date
Sep 23, 2011
Last Updated
Sep 23, 2011

Practice Location

Address
2318 FREDERICA ST
ZIP Code
42301-4826
Phone
(270) 686-7873

Specialties & Taxonomy Codes

Specialty
Pharmacist

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