Individual
CHARLENE FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
214 18TH ST E, SUITE A, TIFTON, GA 31794-3512
(229) 388-1666
(229) 388-1391
Mailing address
214 18TH ST E, SUITE A, TIFTON, GA 31794-3512
(229) 388-1666
(229) 388-1391
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15733
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00587397A
—
GA
Enumeration date
12/30/2006
Last updated
07/08/2007
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