Individual
CANDICE FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D, BCCP
Contact information
Practice address
62 W 7TH AVE, SPOKANE, WA 99204-2321
(509) 474-2041
(509) 474-4906
Mailing address
5TH AVE & ROOSEVELT, PHARMACY SERVICE (119), HINES, IL 60141
(708) 202-8387
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60324172
WA
Other
Enumeration date
10/16/2006
Last updated
12/14/2020
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