Individual
KARANITA FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
731 E ROCHAMBEAU DR, WILLIAMSBURG, VA 23188-2187
(757) 220-3999
Mailing address
731 E ROCHAMBEAU DR, WILLIAMSBURG, VA 23188-2187
(757) 220-3999
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202214225
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202214225
VIRGINIA DEPARTMENT OF HEALTH PROFFESIONS
VA
Enumeration date
11/18/2020
Last updated
11/18/2020
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