Individual
COREY JAMES FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
85 ROBINSON ST, BINGHAMTON, NY 13901-2521
(607) 722-4221
Mailing address
85 ROBINSON ST, BINGHAMTON, NY 13901-2521
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
060772
NY
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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