NPI
Gregory Ross Fuller
NPI 1215668603
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- Rph
- Type
- Individual
- Enumeration date
- 2022-06-17
- Last updated
- 2022-06-17
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Specialties
Licenses
- License AR
- PD16070
Location
- Practice location
- 270 Main St
- City
- Mammoth Spring AR
- Postal code
- 72554-7466
- Phone
- (870) 625-3222
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Mammoth Spring, AR. 57 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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