Provider Demographics
NPI:1689608796
Name:FLETCHER, JAMES K (R PH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:K
Last Name:FLETCHER
Suffix:
Gender:M
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7820 S VALENTIA ST
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3339
Mailing Address - Country:US
Mailing Address - Phone:303-770-5909
Mailing Address - Fax:
Practice Address - Street 1:541 NORFOLK ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-9348
Practice Address - Country:US
Practice Address - Phone:720-847-6049
Practice Address - Fax:720-847-7464
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10306183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist