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Individual

DANIELLE FULKROD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
103 N SHADY ST, MOUNTAIN CITY, TN 37683-1333
(423) 727-5651
Mailing address
103 N SHADY ST, MOUNTAIN CITY, TN 37683-1333
(423) 727-5651

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202214028
VA
183500000X
Pharmacist
Primary
39961
TN
183500000X
Pharmacist
RP0009444
WV

Other

Enumeration date
06/30/2015
Last updated
04/14/2017
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