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Renate Selene Fuller, RPH
NPI 1184807117

Renate Selene Fuller is a Pharmacist based in Port Jefferson Station, NY. Renate Selene Fuller practices in Port Jefferson Station, NY and has the professional credentials of RPH. The NPI Number for Renate Selene Fuller is 1184807117 and holds a License No. 048137 (New York).

The current practice location address for Renate Selene Fuller is 518 Jefferson Plz, Port Jefferson Station, NY and can be reached out via phone at 631-476-8334 and via fax at 631-476-0749.

Location: 518 Jefferson Plz, Port Jefferson Station, NY, 11776-2047
person
Provider Profile Details
NPI Number
1184807117
Provider Name
Renate Selene Fuller
Credential
RPH
Provider Entity Type
Individual
Gender
Female
Address
518 Jefferson Plz, Port Jefferson Station, NY, 11776-2047
Phone Number
631-476-8334
Fax Number
631-476-0749
Provider Enumeration Date
12/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01869410 05 NY
institution
Provider Business Practice Location Address Details
Address
518 Jefferson Plz
City
State
Zip
11776-1104
Phone Number
631-476-8334
Fax Number
631-476-0749
person
Provider Business Mailing Address Details
Address
518 Jefferson Plz
City
State
Zip
11776-1104
Phone Number
631-476-8334
Fax Number
631-476-0749
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
048137 (New York)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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