Individual provider · Type 1 NPI

Raeanne Fuller, PharmD

Pharmacist · Martinez, CA

NPI number 1962740340 Active

Practice location

200 Muir Rd
Martinez, CA 94553-4614

Mailing address

4212 N 16th St
Phoenix, AZ 85016-5319

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000XS019335 (AZ)
Pharmacist Primary 183500000X71825 (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 1962740340

Raeanne Fuller, PharmD's National Provider Identifier is 1962740340, issued on Jan 20, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Martinez, CA. The record was last updated on Dec 15, 2021.