Donovan Fuller, PHARMD

Pharmacist · Edmond, OK

Individual Active NPI

NPI number 1972103299

Practice location

1117 W I 35 Frontage Rd
Edmond, OK 73034-7398
Phone
(405) 757-3802
Fax
(405) 757-3251

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NPI record

NPI
1972103299
Entity type
Individual (Type 1)
Enumeration date
October 27, 2020
Last updated
April 30, 2024
Certified
October 27, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 14472 OK
Pharmacist 183500000X PD12183 AR

About Dr. Fuller

Donovan Fuller, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1117 W I 35 Frontage Rd, Edmond, OK 73034-7398. The NPI number 1972103299 was assigned on October 27, 2020 and the record was last updated on April 30, 2024.

Dr. Fuller lists 2 licenses in the registry: #14472 (OK) for Pharmacist; #PD12183 (AR) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Donovan Fuller, PHARMD?

The NPI number is 1972103299.

What is the phone number of Dr. Fuller?

The phone number listed for the practice location is (405) 757-3802.

Where is Dr. Fuller located?

1117 W I 35 Frontage Rd, Edmond, OK 73034-7398.

What is the taxonomy code for Dr. Fuller?

The primary taxonomy code is 183500000X – Pharmacist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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