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

TRAVIS FULLER, PHARMD

Active Sole Proprietor

TRAVIS FULLER, PHARMD is a Pharmacist healthcare provider located in SOUTHPORT, North Carolina. NPI 1457687907 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · SOUTHPORT, NC

Registration Details

NPI Number
1457687907
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2009 (16.638292860921 yrs)
Last Updated
Dec 18, 2022
Licenses
21004 (CO)
20363 (NC)
Sole Proprietor
Yes

Practice Information

Address
5098 SOUTHPORT SUPPLY RD SE
SOUTHPORT, NC, 284618746
Browse NC providers · Browse ZIP 28461
Phone
3033334678
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in SOUTHPORT, NC

Name Credential NPI
MRS. DENISE BETH HAYES RPH, MS, CCP 1033127857
BRAD F NARRON RPH 1821311499
TERESA F YOUNG RPH 1760709307
MR. ASHOK J CHANDARANA R.PH 1962783373
DR. WILLIAM WESLEY HICKMAN PHARMD 1730460940
DENICE FRETTE RPH 1245512201
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.