Tyka Fuller, PHARMD

NPI #1376147660 in Hillsboro, Illinois

Provider Information

NPI Number
1376147660
Entity Type
Individual
Name
Tyka Fuller, PHARMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
PHARMD
Enumeration Date
Nov 26, 2020
Last Updated
Nov 26, 2020

Practice Location

Address
608 S MAIN ST
ZIP Code
62049-1732
Phone
(217) 532-9477

Specialties & Taxonomy Codes

Specialty
Pharmacist

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