Individual provider · NPI-1

James William Fletcher IV, CPhT

Pharmacy Technician · Moreno Valley, CA

NPI number1801047006
StatusActive
Last updated in NPPESAug 19, 2021

Details

NPI
1801047006
Entity type
Individual (NPI-1)
Name
Mr. James William Fletcher IV
Credential
CPhT
Sex
Male
Sole proprietor
No
Enumeration date
Oct 6, 2008
Certification date
Aug 19, 2021
Last updated
Aug 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183700000X Pharmacy Technician049-185630ILYes

Practice location

27289 Caprock Way
Moreno Valley, CA 92555-4582

Phone 815-616-9012

Mailing address

27289 Caprock Way
Moreno Valley, CA 92555-4582

Phone 815-616-9012

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