Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
RAEANNE FULLER
Active
Individual
RAEANNE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
71825
CA
183500000X
Pharmacist
S019335
AZ
Other
Enumeration date
01/20/2013
Last updated
12/15/2021
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