Organization
FULTON PHARMACY, LLC
Active
Other names
Whitesell Home Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WESTBROOK (PRESIDENT)
(301) 662-4848
Entity
Organization
Contact information
Practice address
622 N MARKET ST, FREDERICK, MD 21701-5245
(301) 662-4848
Mailing address
622 N MARKET ST, FREDERICK, MD 21701-5245
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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