Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH WEBSTER FUQUA SR., RPH;CPH
Active Sole ProprietorKENNETH WEBSTER FUQUA SR., RPH;CPH is a Ambulatory Care Pharmacist healthcare provider located in LAKELAND, Florida. NPI 1174061048 is currently active in the NPPES registry. Verify at CMS.
Ambulatory Care Pharmacist · LAKELAND, FL
Registration Details
- NPI Number
- 1174061048
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 10, 2017 (9.5293088728502 yrs)
- Last Updated
- Feb 10, 2017
- Licenses
-
PU00102 (FL)PS11329 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1122 OLD POLK CITY RDLAKELAND, FL, 338096622Browse FL providers · Browse ZIP 33809
- Phone
- 8638582828
- Primary Specialty
-
Ambulatory Care Pharmacist
1835P2201X
- Additional Specialty
- Ambulatory Care Pharmacist
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.