Fulton Pharmacy INC
NPI #1093704371 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1093704371
- Entity Type
- Organization
- Organization Name
- Fulton Pharmacy INC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Oct 19, 2005
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 738 W FULTON ST
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49504-6320
- Phone
- (616) 293-1258
Authorized Official
- Name
- MRS. SUZANNE NASH ANTHONY, RPH
- Title
- VICE PRESIDENT
- Phone
- (616) 791-2014
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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