Individual
DR. JERRY MARK FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
204 W HILL BLVD, 628 MEDICAL GROUP PHARMACY, JOINT BASE CHARLESTON, SC 29404-4704
(843) 963-6809
Mailing address
204 W HILL BLVD, 628 MEDICAL GROUP, JOINT BASE CHARLESTON, SC 29404-4704
(843) 963-6809
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16409
LA
Other
Enumeration date
10/11/2006
Last updated
03/25/2013
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