Provider Demographics
NPI:1518249499
Name:FULTON, SHERRI (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SHERRI
Middle Name:
Last Name:FULTON
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1218 OCEAN AVE
Mailing Address - Street 2:
Mailing Address - City:OCEAN CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08226-3252
Mailing Address - Country:US
Mailing Address - Phone:609-398-2627
Mailing Address - Fax:
Practice Address - Street 1:1332 WEST AVENUE
Practice Address - Street 2:
Practice Address - City:OCEAN CITY
Practice Address - State:NJ
Practice Address - Zip Code:08226-0000
Practice Address - Country:US
Practice Address - Phone:609-814-1954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28R103434800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist