Fulton Pharmacy Inc in Grandville - Pharmacy

Fulton Pharmacy Inc - NPI 1093704371

Fulton Pharmacy Inc is a Pharmacy in Grandville, Michigan. Fulton Pharmacy Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Fulton Pharmacy Inc is 1093704371. The last update date is 2023-03-07.

Fulton Pharmacy Inc's current location address is 4291 Mohave Ct Sw, Grandville, Michigan. You can contact this provider via phone number 6162931258. The mailing address for Fulton Pharmacy Inc is 4291 Mohave Ct Sw, Grandville, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Fulton Pharmacy Inc
Address 4291 Mohave Ct Sw, Grandville, Michigan
Phone Number 6162931258
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Anthony Nash Suzanne
Credentials RPH
Telephone Number 6167912014

NPI Number Detail

NPI Number 1093704371
Provider Enumeration Date 2005-10-19
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 4291 Mohave Ct Sw
City Grandville
State Michigan (MI)
Post Code 494181739
Phone Number 6162931258
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No 5301005576
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4734275 MI --
2348678 NABP
2348678 MI --

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FAQs about Fulton Pharmacy Inc

What is the Fulton Pharmacy Inc's 1093704371?

The Fulton Pharmacy Inc's NPI (National Provider Identifier) Number is 1093704371. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Fulton Pharmacy Inc?

The Fulton Pharmacy Inc is physically situated at 4291 Mohave Ct Sw, in the city of Grandville, state of MI, with the postal code 494181739.

What is Fulton Pharmacy Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Fulton Pharmacy Inc is Pharmacy, and the corresponding taxonomy classification code for this specialized field is 333600000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1093704371 to Fulton Pharmacy Inc?

The Centers for Medicare & Medicaid Services assigned the 1093704371 to Fulton Pharmacy Inc on 2005-10-19.

When was the information related to Fulton Pharmacy Inc most recently updated or refreshed?

The details pertaining to the Fulton Pharmacy Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.

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