Individual
DR. JEFFREY FULKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
762 LITTLE COAL RIVER RD, ALUM CREEK, WV 25003-9262
(304) 756-1260
(304) 756-1262
Mailing address
PO BOX 95, ALUM CREEK, WV 25003-0095
(304) 756-1260
(304) 756-1262
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0005827
WV
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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