Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fuller Avenue Pharmacy

Organization Community/Retail Pharmacy · NPI 1922109214

Fuller Avenue Pharmacy is a Community/Retail Pharmacy in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006

Practice location Address checks out

2355 Fuller Ave NE
Grand Rapids, MI 49505-4367
Phone: (616) 363-3889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 5301002349 (MI)

Record details

NPI number1922109214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Almassian — Owner · (616) 363-3889
NPI enumeratedSeptember 26, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2355 Fuller Ave Ne, Grand Rapids, MI 49505-4367

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