Individual
MR. JAMES DARRELL FULLMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
475 S MAIN ST, EPHRAIM, UT 84627-4017
(435) 283-0340
Mailing address
475 S MAIN ST, EPHRAIM, UT 84627-4017
(435) 283-0340
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
130934
UT
Other
Enumeration date
02/21/2007
Last updated
04/27/2010
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