Fuller, Tyka

Fuller, Tyka is an individual health care provider with primary practice located at 608 S Main St , Hillsboro IL 62049-1732. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Fuller, Tyka can be contacted via phone (217) 532-9477.

Contact Information

Primary practice address
608 S Main St Hillsboro IL 62049-1732
Phone: (217) 532-9477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051.291990 Illinois

Profile Details

NPI number 1376147660
LBN Legal business name Fuller, Tyka
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2020
Last updated Nov 26th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers