| Brent Fuller, RPH | |
|
339 9th Ave Sw, Lafayette, AL 36862-2896 | |
| (334) 864-7781 | |
| Not Available |
| Full Name | Brent Fuller |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 339 9th Ave Sw, Lafayette, Alabama |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326637810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 13653 (Alabama) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Fuller, RPH 339 9th Ave Sw, Lafayette, AL 36862-2896 Ph: (334) 864-7781 | Brent Fuller, RPH 339 9th Ave Sw, Lafayette, AL 36862-2896 Ph: (334) 864-7781 |
Mr. Russell T Moore, PHARM. D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 339 9th Ave Sw, Lafayette, AL 36862 Phone: 334-864-7781 Fax: 334-864-0096 | |
Andrew Wagner, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 4295 County Road 12, Lafayette, AL 36862 Phone: 334-332-1661 |