Individual
LYNN Z FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2100 GARDINER LN, LOUISVILLE, KY 40205-2962
(502) 413-8952
Mailing address
100 RIDGE RD, VERSAILLES, KY 40383-1333
(502) 413-8952
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010150
KY
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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