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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SALLY SUZANNE FULLENKAMP, PHARM D.

Active

SALLY SUZANNE FULLENKAMP, PHARM D. is a Pharmacist healthcare provider located in LA VISTA, Nebraska. NPI 1124303250 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · LA VISTA, NE

Registration Details

NPI Number
1124303250
Provider Type
Individual
Gender
Female
NPI Issued
Oct 20, 2011 (14.776010965594 yrs)
Last Updated
Oct 20, 2011
Licenses
13121 (NE)
2007028067 (MO)

Practice Information

Address
10314 FLORENCE CIR
LA VISTA, NE, 681282372
Browse NE providers · Browse ZIP 68128
Phone
4025049932
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in LA VISTA, NE

Name Credential NPI
COLBY STEVEN HOLYOAK PHARMD 1477871572
MR. THOMAS JOSEPH CARNAZZO RPH 1164799276
JULIANNE MABBITT 1144597063
MRS. ERIN MCCLELLAND PHARMD 1437426103
AMANDA RUSSELL 1710254388
MARC ZWEEDYK R.P. 1215205166
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.