Organization
FULTON PHARMACY, LLC
Active
Other names
WHITESELLS PHARMACY, Whitesell Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WESTBROOK (PRESIDENT)
(301) 662-4848
Entity
Organization
Contact information
Practice address
236 N MARKET ST, FREDERICK, MD 21701-5335
(301) 662-4848
(301) 620-0668
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P04757
MD
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2033055
PK
—
05
—
419818200
—
MD
Enumeration date
07/04/2006
Last updated
07/17/2019
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