Individual
HEATHER FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, MBA
Contact information
Practice address
1921 W PARRISH AVE, OWENSBORO, KY 42301-3542
(270) 683-0223
Mailing address
420 LARUE RD, HENDERSON, KY 42420-3450
(270) 831-0426
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016669
KY
183500000X
Pharmacist
26025248A
IN
Other
Enumeration date
06/27/2013
Last updated
04/24/2015
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