Individual
MR. BRIAN ROBERT FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
105 MALL BLVD, MONROEVILLE, PA 15146-2230
(800) 238-7828
Mailing address
105 MALL BLVD, MONROEVILLE, PA 15146-2230
(800) 238-7828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP044161T
PA
183500000X
Pharmacist
RPH.03222893-2
OH
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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