Individual
JOHN ROBERT FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-2411
Mailing address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-2411
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00022436
WA
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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