Individual provider · Type 1 NPI
Sally Suzanne Fullenkamp, PHARM D.
Pharmacist · La Vista, NE
Practice location
10314 Florence Cir
La Vista, NE 68128-2372
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | 13121 (NE) |
| Pharmacist Primary | 183500000X | 2007028067 (MO) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1124303250
Sally Suzanne Fullenkamp, PHARM D.'s National Provider Identifier is 1124303250, issued on Oct 20, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in La Vista, NE. The record was last updated on Oct 20, 2011.