Individual provider · Type 1 NPI
Renate Selene Fuller, RPH
Pharmacist · Port Jefferson Station, NY
Practice location
518 Jefferson Plz
Port Jefferson Station, NY 11776-1104
Fax (631) 476-0749
Mailing address
5145 Nesconset Hwy
Port Jefferson Station, NY 11776-2047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 048137 (NY) |
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…
2 other providers at this address
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- Zahra M. Hasan, PharmDPharmacist Port Jefferson Station, NY NPI 1073926788
- Bryan J. Krivosta, PHARM DPharmacist Port Jefferson Station, NY NPI 1093034076
- Nicolette Picarello, PharmDPharmacist Port Jefferson Station, NY NPI 1114642584
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About NPI 1184807117
Renate Selene Fuller, RPH's National Provider Identifier is 1184807117, issued on Dec 13, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Sep 6, 2009.