Individual
AMANDA MICHELLE FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7470 SAWMILL RD, DUBLIN, OH 43016-8633
(614) 889-8662
Mailing address
7470 SAWMILL RD, DUBLIN, OH 43016-8633
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03233766
OH
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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