Individual
CHRISTOPHER FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 PELZER HWY, EASLEY, SC 29642-2106
(864) 855-6856
(864) 855-6972
Mailing address
301 PALINS CT, EASLEY, SC 29642-9087
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35986
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35986
PHARMACY LICENSE
SC
Enumeration date
12/08/2015
Last updated
01/14/2017
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