# FULTON PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Whitesell Long Term Care Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578095576
- **Authorized official:** MICHAEL WESTBROOK (PRESIDENT)
- **Authorized official phone:** (301) 662-4848

## Contact information

- **Practice address:** 228 W PATRICK ST, FREDERICK, MD 21701-6946
- **Practice address phone:** (240) 877-7575
- **Practice address fax:** (240) 877-7575
- **Mailing address:** 236 N MARKET ST, FREDERICK, MD 21701-5335
- **Mailing address phone:** (301) 662-4848
- **Mailing address fax:** (301) 620-0668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PW0514 | MD | Yes |

## Other

- **Enumeration date:** 03/29/2017
- **Last updated:** 09/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2173949 | PK | — |