# FULTON ROAD PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FULTON DRUGS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134203268
- **Authorized official:** TIMOTHY KINGSBURY RPH (PRESIDENT)
- **Authorized official phone:** (330) 456-2476

## Contact information

- **Practice address:** 1657 25TH ST NW, CANTON, OH 44709-3421
- **Practice address phone:** (330) 456-2476
- **Practice address fax:** (330) 456-1973
- **Mailing address:** 1657 25TH ST NW, CANTON, OH 44709-3421
- **Mailing address phone:** (330) 456-2476
- **Mailing address fax:** (330) 456-1973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 021296900 | OH | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 12/01/2016