Individual
KYRA LASHANE FULCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(904) 733-6099
Mailing address
4507 SONG SPARROW DR, MIDDLEBURG, FL 32068-9050
(904) 521-4757
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS39309
FL
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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