Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Richard Fuller

Individual provider Pharmacist · NPI 1124635677

Richard Fuller is a Pharmacist in Pensacola, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

2899 N 12th Ave
Pensacola, FL 32503-4001
Phone: (850) 438-7568
Fax: (850) 438-0683
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS19123 (FL)

Record details

NPI number1124635677
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 29, 2020
Last updated in NPPESSeptember 29, 2020
Certification dateSeptember 29, 2020

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