Individual
CANDACE DAWN FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
220 FOOTHILLS MALL DR, MARYVILLE, TN 37801-5516
(865) 379-7899
Mailing address
11610 VISTA TERRACE WAY APT 2304, KNOXVILLE, TN 37932-2875
(276) 312-0810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000045561
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45561
TENNESSEE PHARMACIST LICENSE NUMBER
TN
Enumeration date
09/16/2021
Last updated
01/17/2022
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