Dr John Carr Fullerton Iv, PHARMD is a
Pharmacist based in Diboll, Texas. Dr John Carr Fullerton Iv is licensed to practice in Texas (license number 52433) and his current practice location is
223 1/2 N Temple Dr., Diboll, Texas. He can be reached at his office (for appointments etc.) via phone at
(936) 829-3671.
NPI number for Dr John Carr Fullerton Iv is 1033706387 and his current mailing address is 223 1/2 N Temple Dr., Diboll, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033706387.
Healthcare Provider's Profile
| Full Name | Dr John Carr Fullerton Iv |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 223 1/2 N Temple Dr., Diboll, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033706387
- Provider Enumeration Date: 12/21/2020
- Last Update Date: 12/21/2020
Medical Identifiers
Medical identifiers for Dr John Carr Fullerton Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033706387 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 52433 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Carr Fullerton Iv is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John Carr Fullerton Iv, PHARMD
223 1/2 N Temple Dr.,
Diboll, TX 75941
Ph: () - | Dr John Carr Fullerton Iv, PHARMD
223 1/2 N Temple Dr.,
Diboll, TX 75941
Ph: (936) 829-3671 |
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