Provider Demographics
NPI:1427543271
Name:FULTON, VICTORIA K
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:K
Last Name:FULTON
Suffix:
Gender:
Credentials:
Other - Prefix:DR
Other - First Name:VICTORIA
Other - Middle Name:K
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3348 S OGDEN ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2842
Mailing Address - Country:US
Mailing Address - Phone:812-699-1649
Mailing Address - Fax:
Practice Address - Street 1:601 ENGLEWOOD PKWY
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2374
Practice Address - Country:US
Practice Address - Phone:303-789-7209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO21068183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO21068OtherSTATE PHARMACIST LICENSE