-- KIM FULLER --
Individual Provider (NPI-1)
Active
Pharmacist
Provider Information
- NPI Number
1770637456- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1412 N WOODLAWN BLVD, DERBY, KS, 670372922
- Phone
- (316) 788-5533
- Fax
- (316) 788-7432
Specialties & Taxonomies
Pharmacist
Primary License: KS #2-07913