Organization
FULTON PHARMACY, LLC
Active
Other names
Whitesell Long Term Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WESTBROOK (PRESIDENT)
(301) 662-4848
Entity
Organization
Contact information
Practice address
228 W PATRICK ST, FREDERICK, MD 21701-6946
(240) 877-7575
(240) 877-7575
Mailing address
236 N MARKET ST, FREDERICK, MD 21701-5335
(301) 662-4848
(301) 620-0668
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PW0514
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2173949
PK
—
Enumeration date
03/29/2017
Last updated
09/19/2025
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