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Individual
CHRISA FULCHER FULK
Active
Individual
CHRISA FULCHER FULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21081
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0186248
—
NC
Enumeration date
03/05/2011
Last updated
05/16/2013
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