Individual
DR. MATTHEW A. FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
10000 BRECKSVILLE RD, PHARMACY SERVICE 119 (B), BRECKSVILLE, OH 44141-3204
(440) 526-3030
(440) 546-2706
Mailing address
10000 BRECKSVILLE RD, PHARMACY SERVICE 119 (B), BRECKSVILLE, OH 44141-3204
(440) 526-3030
(440) 546-2706
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
03-2-15158
OH
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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