Organization
FULLERTON PHARMACY, INC.
Active
Other names
Fullerton Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SIRISHA PALAVALLI (CEO/CFO/SEC./DIR.)
(951) 496-4222
Entity
Organization
Contact information
Practice address
1820 FULLERTON AVE., STE. 105, CORONA, CA 92881-3160
(951) 496-4222
Mailing address
1820 FULLERTON AVE., STE. 105, CORONA, CA 92881-3160
(951) 496-4222
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
09/19/2020
Last updated
02/15/2024
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