Individual provider · Type 1 NPI

Clive Fuller, PharmD

Pharmacist · San Jose, CA

NPI number 1669680997 Active

Practice location

105 N Bascom Ave Ste 101
San Jose, CA 95128-1811

Call (408) 995-6020 Map

Fax (408) 995-5320

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH 43998 (CA)

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 1669680997

Clive Fuller, PharmD's National Provider Identifier is 1669680997, issued on May 18, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in San Jose, CA. The record was last updated on Jul 29, 2025.