Individual
ALISSA FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4725 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-4603
(954) 542-3195
Mailing address
4725 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-4603
(954) 542-3195
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS26779
FL
Other
Enumeration date
06/24/2026
Last updated
06/24/2026
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