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Organization
FULTON ROAD PHARMACY INC
Active
Organization
FULTON ROAD PHARMACY INC
Active
Other names
FULTON DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY KINGSBURY RPH (PRESIDENT)
(330) 456-2476
Entity
Organization
Contact information
Practice address
1657 25TH ST NW, CANTON, OH 44709-3421
(330) 456-2476
(330) 456-1973
Mailing address
1657 25TH ST NW, CANTON, OH 44709-3421
(330) 456-2476
(330) 456-1973
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
021296900
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2078516
PK
—
05
—
2286477
—
OH
Enumeration date
10/25/2006
Last updated
12/01/2016
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