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Individual

JOHNATHAN KYLE FLETCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2622 MADISON ST STE A, CLARKSVILLE, TN 37043-6549
(931) 919-2491
Mailing address
404 N OAK ST, SPRINGFIELD, TN 37172-2335
(615) 428-0375

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
44408
TN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
44408
TN

Other

Enumeration date
07/09/2020
Last updated
02/13/2023
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