Individual
KATIE FULKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 571-1000
Mailing address
7461 BLACKMON RD, APT 4511, COLUMBUS, GA 31909-8400
(248) 342-1655
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029314
GA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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