Charlene Fletcher is a Pharmacist in Tifton, Georgia. Charlene Fletcher practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Charlene Fletcher is 1912063074. The last update date is 2007-07-08.
Charlene Fletcher's current location address is 214 18th St E, Tifton, Georgia. You can contact this provider via phone number 2293881666 and fax number 2293881391. The mailing address for Charlene Fletcher is 214 18th St E, Tifton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charlene Fletcher |
|---|---|
| Address | 214 18th St E, Tifton, Georgia |
| Phone Number | 2293881666 |
| Fax Number | 2293881391 |
| Sole Proprietor | Y |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1912063074 |
|---|---|
| Provider Enumeration Date | 2006-12-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 214 18th St E |
|---|---|
| City | Tifton |
| State | Georgia (GA) |
| Post Code | 317943512 |
| Phone Number | 2293881666 |
| Fax Number | 2293881391 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 15733 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00587397A | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Charlene Fletcher?
The Charlene Fletcher has been issued the NPI (National Provider Identifier) 1912063074 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Charlene Fletcher's facilities are situated?
The facilities of Charlene Fletcher are physically located at the following address: 214 18Th St E, Tifton, GA, 317943512.
What is the Charlene Fletcher's specialty and taxonomy code?
The Charlene Fletcher's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912063074 to Charlene Fletcher?
The Centers for Medicare & Medicaid Services assigned the 1912063074 to Charlene Fletcher on 2006-12-30.
When was the information related to Charlene Fletcher most recently updated or refreshed?
The details pertaining to the Charlene Fletcher, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.