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Contact Information

TIA FULTON, PHARM.D.
5501 S OLIVE ST
PHARMACY
PINE BLUFF, AR71603
 Phone: 870-879-1420
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for TIA FULTON · (Female)

NPI # 1740072354
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 05/20/2025
Last updated 05/20/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • AR License # PD16666
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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