Most Relevant Information
Provider Data
| NPI Number: | 1003480575 |
| Provider Name: | MICHAEL FULLER PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 18809 |
Most Important Dates
| Enumeration Date: | 05/18/2021 |
| Last Updated: | 05/18/2021 |
Provider Practice Location
2545 E EUCLID AVE
DES MOINES
IA
503176099
Practice Location Phone/Fax
| Phone: | 5157457420 |
| Fax: |
Provider Mailing Location
2545 E EUCLID AVE
DES MOINES
IA
503176099
Provider Mailing Phone/Fax
| Phone: | 5157457420 |
| Fax: |