Basic Information
| Provider Information | |||||||||
| NPI: | 1689608796 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FLETCHER | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | K | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | R PH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7820 S VALENTIA ST | ||||||||
| Address2: | |||||||||
| City: | CENTENNIAL | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801123339 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037705909 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 541 NORFOLK ST | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800119348 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7208476049 | ||||||||
| FaxNumber: | 7208477464 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 10306 | CO | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.