Individual
KATIE M FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
285 JAMES STREET, HOLLAND, MI 49424
(616) 994-6620
(616) 399-1967
Mailing address
285 JAMES STREET, HOLLAND, MI 49424
(616) 994-6620
(616) 399-1967
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302041993
MI
1835P2201X
Ambulatory Care Pharmacist
5302041993
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457977514
—
MI
Enumeration date
03/31/2021
Last updated
03/31/2021
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