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NPI Code Detail

MEDICARE: MARTINE C FULTON RPH

MEDICARE: MARTINE C FULTON RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS19890FL

General Provider Information

NPI Number : 1841387321
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTINE C FULTON RPH
Provider Business Mailing Address
First Line : 6172 WINDLASS CIR
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33437-5117
Country : US
Telephone Number : 561-734-8636
Fax Number :
Provider Business Practice Location Address
First Line : 141 E WOOLBRIGHT RD
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435-6007
Country : US
Telephone Number : 561-736-1010
Fax Number : 561-736-1272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2006
Last Update Date : 07/08/2007

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Directions to “ MARTINE C FULTON RPH” Practice Location

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