Gregory Ross Fuller, RPH

NPI #1215668603 in Mammoth Spring, Arkansas

Provider Information

NPI Number: 1215668603
Entity Type: Individual
Name: Gregory Ross Fuller, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jun 17, 2022
Last Updated: Jun 17, 2022

Practice Location

Address: 270 MAIN ST
City: Mammoth Spring
State: Arkansas
ZIP Code: 72554-7466
Phone: (870) 625-3222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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