Individual
SCOTT MICHAEL FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1765 MIDDLESEX ST, LOWELL, MA 01851-1105
(978) 323-7813
(978) 323-7843
Mailing address
1765 MIDDLESEX ST, LOWELL, MA 01851-1105
(978) 323-7813
(978) 323-7843
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH20135
MA
183500000X
Pharmacist
R1183
NH
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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