Individual
NAKIA FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 LAKE SHORE DR E, ASHLAND, WI 54806-2421
(715) 682-3660
Mailing address
2500 LAKE SHORE DR E, ASHLAND, WI 54806-2421
(715) 682-3660
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1203626
WI
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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