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Contact Information

JODY D FULLER, RPH
12252 GOVERNOR GC PEERY HIGHWAY
POUNDING MILL, VA24637
 Phone: 276-963-3502
 Fax: 276-963-3757
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for JODY D FULLER · (Male)

NPI Number 1275707705
Status Active
Credentials RPH (Registered Pharmacist)
Entity Individual
Enumeration date 04/16/2008
Last updated 04/16/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0202204610
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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