| Doctor Name: | MR. RONALD L. FULMER |
| NPI Number: | 1316154933 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPH |
| License Number: | 8182 |
| Business Practice Address: | 3412 Graystone Pl Conover, NC - 286138200 |
| Business Phone Number: | 8283224499 |
| Business Fax Number: | 8283227655 |
| Mailing Address: | 4587 Old Nc 18, MORGANTON |
| State: | NC |
| Postal Code: | 286559435 |
| Phone Number: | 8284381148 |
| Fax Number: | 8284320128 |
| NPI Enumeration Date: | 05/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835G0303X |
| License Number: | 8182 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Geriatric |
| Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |