Individual
MR. JODY DOW FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
12252 GOVERNOR GC PEERY HIGHWAY, POUNDING MILL, VA 24637
(276) 963-3502
(276) 963-3757
Mailing address
PO BOX 690, POUNDING MILL, VA 24637-0690
(276) 963-3502
(276) 963-3757
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202204610
VA
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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