IndividualActive
Sally Fullenkamp, PHARM D.
NPI 1124303250 · Pharmacist · La Vista, NE
Sally Fullenkamp, PHARM D. is a Pharmacist provider in La Vista, NE (NPI 1124303250).
Provider details
- NPI number
- 1124303250
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM D.
- Sex
- Female
- Sole proprietor
- No
- License
- 13121 (NE)
Practice location
10314 Florence Cir
La Vista, NE 68128-2372
Phone: (402) 504-9932
Street-level locationGet directions
Mailing address
10314 Florence Cir
La Vista, NE 68128-2372
Registry dates
- Enumerated
- 2011-10-20
- Last updated
- 2011-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.