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

Nathan Fuller

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1790236255

Nathan Fuller is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Longmont, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2016

Practice location Address checks out

1611 Pace St
Longmont, CO 80504-3052
Phone: (303) 776-7590
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 0021543 (CO)

Record details

NPI number1790236255
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 20, 2016
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address1611 Pace St, Longmont, CO 80504-3052

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