Fuller Selle Llc is not a DME supplier for medicare equipments and products.
Fuller Selle Llc is a Long Term Care Pharmacy in Mesa, Arizona. It is located at 215 S Power Rd, Mesa and it's customer support contact number is 408-985-6992. The authorized person of Fuller Selle Llc is Gary Alexander who is Cfo of the pharmacy and his contact number is 210-745-4000. Active license number of Fuller Selle Llc is Y004869 for Long Term Care Pharmacy in Arizona. Fuller Selle Llc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Fuller Selle Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Fuller Selle Llc
Type:
Long Term Care Pharmacy
Location:
215 S Power Rd, Mesa, Arizona, 85206-5235
Phone:
408-985-6992
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Gary Alexander
Position:
Cfo
Contact Number:
210-745-4000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1053573154
NPI Enumeration Date:
30 Jun, 2008
NPI Last Update On:
30 Jun, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fuller Selle Llc are as mentioned below.
Specialization
License Number
State
Status
Long Term Care Pharmacy
Y004869
Arizona
Primary
Compounding Pharmacy
Secondary
Institutional Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0355392
Other
Other Id Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
777 E Sonterra Blvd, Ste 300 San Antonio, Texas
Zip:
78258-4246
Phone Number:
--
Fax Number:
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Patients can reach Fuller Selle Llc at 215 S Power Rd, Mesa, Arizona or can call on customer care at 408-985-6992.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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