NPI 1003480575

Michael Fuller, PHARMD

Practitioner Pharmacist Des Moines, IA

Practice location

Address: 2545 E Euclid Ave, Des Moines, IA 50317-6099
Phone: (515) 745-7420

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 18809 (IA)

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Registry record

NPI: 1003480575
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 May 2021
Record last updated: 18 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.