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Organization
TYCHAN INC.
Active
Organization
TYCHAN INC.
Active
Other names
Fletcher Med Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LA SHARA SMITH PHD (PRESIDENT)
(619) 463-7770
Entity
Organization
Contact information
Practice address
8881 FLETCHER PKWY, SUITE 103, LA MESA, CA 91942-3134
(619) 463-7770
(619) 463-8086
Mailing address
8881 FLETCHER PKWY, SUITE 103, LA MESA, CA 91942-3134
(619) 463-7770
(619) 463-8086
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY44780
CA
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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