Individual
RYAN MICHAEL FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
9010 MICHIGAN RD, INDIANAPOLIS, IN 46268-3184
(317) 532-1607
Mailing address
9010 MICHIGAN RD, INDIANAPOLIS, IN 46268-3184
(317) 532-1607
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019085A
IN
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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