Individual
GILBERT MICHAEL FULKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2901 5TH AVE, HUNTINGTON, WV 25702-1407
(304) 697-0366
Mailing address
PO BOX 985, PROCTORVILLE, OH 45669-0985
(740) 867-6133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03314210
OH
183500000X
Pharmacist
RP0003946
WV
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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