Krista Kay Fuller, PHARMD

NPI #1871135905 in Ankeny, Iowa

Provider Information

NPI Number: 1871135905
Entity Type: Individual
Name: Krista Kay Fuller, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Oct 10, 2019
Last Updated: Oct 10, 2019

Practice Location

Address: 1080 NE 18TH ST
City: Ankeny
State: Iowa
ZIP Code: 50021-2602
Phone: (515) 257-4712

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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