Provider Demographics
NPI:1467843474
Name:FLETCHER, JEFFERY STEVEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JEFFERY
Middle Name:STEVEN
Last Name:FLETCHER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 W HERNANDEZ ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32501-1815
Mailing Address - Country:US
Mailing Address - Phone:850-469-3719
Mailing Address - Fax:850-595-1412
Practice Address - Street 1:1201 W HERNANDEZ ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-1815
Practice Address - Country:US
Practice Address - Phone:850-469-3719
Practice Address - Fax:850-595-1412
Is Sole Proprietor?:No
Enumeration Date:2015-02-12
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS45557183500000X
FLNP4051835N0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835N0905XPharmacy Service ProvidersPharmacistNuclear