Organization · Type 2 NPI

Fuller Selle LLC

Long Term Care Pharmacy · Mesa, AZ

NPI number 1053573154 Active

Practice location

215 S Power Rd
Mesa, AZ 85206-5235

Mailing address

777 E Sonterra Blvd, Ste 300
San Antonio, TX 78258-4246

Specialties and licenses

TaxonomyCodeLicense
Compounding Pharmacy 3336C0004XNone listed
Institutional Pharmacy 3336I0012XNone listed
Long Term Care Pharmacy Primary 3336L0003XY004869 (AZ)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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About NPI 1053573154

Fuller Selle LLC's National Provider Identifier is 1053573154, issued on Jun 30, 2008. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Mesa, AZ. The record was last updated on Jun 30, 2008.