Individual
PAULA J FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
210 MAIN ST, WATERVILLE, ME 04901-6116
(207) 877-9004
(207) 877-7854
Mailing address
210 MAIN ST, WATERVILLE, ME 04901-6116
(207) 877-9004
(207) 877-7854
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR3996
ME
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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