Davon Fullwood, PHARMD Valid NPI
Individual provider · Pharmacist · Catonsville, MD
- NPI
- 1477804094
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 20738 (MD)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2012-09-21
- Last updated
- 2012-09-21
Practice location
6323 Baltimore National Pike
Catonsville, MD 21228-3902
(410) 744-0306