Most Relevant Information
Provider Data
| NPI Number: | 1003546805 |
| Provider Name: | AKILAH FULLER PHARMD, MS |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PS63103 |
Most Important Dates
| Enumeration Date: | 06/14/2022 |
| Last Updated: | 06/14/2022 |
Provider Practice Location
1600 S ANDREWS AVE
FORT LAUDERDALE
FL
333162510
Practice Location Phone/Fax
| Phone: | 9543554400 |
| Fax: |
Provider Mailing Location
8907 W SUNRISE BLVD
PLANTATION
FL
333225216
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |