Individual
DR. PAUL J. FULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
1317 HILL ST, HOLDREGE, NE 68949-1237
(308) 995-4401
(308) 995-8834
Mailing address
1317 HILL ST, HOLDREGE, NE 68949-1237
(308) 995-4401
(308) 995-8834
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12653
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12653
NEBRASKA PHARMACY LICENSE
NE
05
—
47063451200
—
NE
05
—
47077451800
—
NE
Enumeration date
05/12/2009
Last updated
02/08/2021
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