Individual
JOHN DAVID FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2451 FILLINGIM ST, PHARMACY DEPARTMENT, MOBILE, AL 36617-2238
(251) 471-7388
Mailing address
8226 PINE LOG CT, DAPHNE, AL 36526-6152
(251) 626-5902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11273
AL
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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