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Tyka Fuller, PHARMD

NPI 1376147660 · on the registry since 2020

Practice

Address
608 S Main St
Hillsboro, IL 62049
Phone
(217) 532-9477
Organisation at this address
Highland Park Cvs, L.L.C.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-11-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois