Individual
BRANDON FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 N 11TH ST, WYTHEVILLE, VA 24382-2029
(276) 228-0637
Mailing address
24302 FLAX RD, ABINGDON, VA 24211-6380
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202209174
VA
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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