Individual provider · Type 1 NPI

Austin Blake Fulwood, PharmD

Pharmacist · Memphis, TN

NPI number 1558071373 Active

Practice location

880 Madison Ave
Memphis, TN 38103-3409

Mailing address

10233 Evergreen Manor Cv
Lakeland, TN 38002-1080

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X43362 (TN)

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 1558071373

Austin Blake Fulwood, PharmD's National Provider Identifier is 1558071373, issued on Dec 2, 2022. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Memphis, TN. The record was last updated on Dec 2, 2022.