Individual
MRS. COURTNEY MIDGETTE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
2621 GROVE AVE, RETREAT DOCTORS' HOSPITAL PHARMACY, RICHMOND, VA 23220-4308
(804) 254-5572
Mailing address
2621 GROVE AVE, RETREAT DOCTORS' HOSPITAL PHARMACY, RICHMOND, VA 23220-4308
(804) 254-5572
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202010089
VA
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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