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Individual
NATHAN FULLER
Active
Individual
NATHAN FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0021543
CO
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0021543
CO
Other
Enumeration date
10/20/2016
Last updated
06/15/2026
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