Individual
ASHLEY MICHELLE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2300 LAKE RD, DYERSBURG, TN 38024-1830
(731) 285-3999
Mailing address
90 MAXINE NELSON RD, PARSONS, TN 38363-5812
(731) 426-2228
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46667
TN
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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