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FULTON PHARMACY INC
NPI 1093704371
Pharmacy in Grand Rapids, MI

Active since October 19, 2005
738 W FULTON ST, GRAND RAPIDS, MI 49504(616) 293-1258 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fulton Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FULTON PHARMACY INC (NPI 1093704371) is a healthcare organization registered as a pharmacy in Grand Rapids, Michigan and active in the NPI registry since October 2005. The organization lists Suzanne Nash Anthony, Vice President, as its authorized official.

NPPES Registry Identity

NPI1093704371
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameFULTON PHARMACY INC
Location Address738 W FULTON STGrand Rapids, MI 49504-6320
Mailing Address4291 Mohave Ct SwGrandville, MI 49418-1739 · (616) 293-1258
Phone(616) 293-1258
Organization SubpartNo
Authorized OfficialSuzanne Nash AnthonyVice President · (616) 791-2014
Enumeration DateOctober 19, 2005
Last NPPES UpdateMarch 7, 2023
✔ NPI 1093704371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MI · 5301005576
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
738 W FULTON ST, Grand Rapids, MI 49504
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Other Identifiers 3

Medicaid4734275MI
Other2348678Nabp
Medicaid2348678MI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fulton Pharmacy Inc's NPI number?

The NPI number for Fulton Pharmacy Inc is 1093704371. It was assigned to this organization in the NPPES registry on October 19, 2005.

Where is Fulton Pharmacy Inc located?

Fulton Pharmacy Inc is located at 738 W Fulton St, Grand Rapids, MI 49504. The listed phone number is (616) 293-1258.

What is Fulton Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Fulton Pharmacy Inc was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.