Individual
MRS. LYNN M FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
520 COBB ST, CADILLAC, MI 49601-2588
(231) 876-6740
(231) 876-6739
Mailing address
2620 S 37 RD, CADILLAC, MI 49601-8127
(231) 779-2879
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302411226
MI
Other
Enumeration date
08/27/2006
Last updated
07/08/2007
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