Individual
MRS. MARY JO FULLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
223 N MAIN ST, MARION, SC 29571-3025
(843) 423-1882
(843) 423-5006
Mailing address
400 DEVON RD, MARION, SC 29571-1906
(843) 423-3136
(843) 423-5006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3613
SC
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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