Individual
MS. ALICIA MAY FULLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, PHARMD
Contact information
Practice address
150 LINCOLN ST APT 2, WORCESTER, MA 01605-2412
(302) 559-7545
Mailing address
150 LINCOLN ST APT 2, WORCESTER, MA 01605-2412
(302) 559-7545
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH232673
MA
Other
Enumeration date
09/09/2008
Last updated
03/29/2011
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