Individual
DR. CONCHETTA WHITE FULTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM.D., RPH.
Contact information
Practice address
1532 TULANE AVE, NEW ORLEANS, LA 70112-2860
(504) 903-6388
(504) 520-7971
Mailing address
921 SONIAT ST, NEW ORLEANS, LA 70115-2955
(504) 899-3564
(504) 895-3058
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13803
LA
Other
Enumeration date
06/09/2005
Last updated
07/08/2007
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