Provider Demographics
NPI:1508678590
Name:FLETCHER, JAMIE CHANEY (PHARM D)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:CHANEY
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 SUMAC ST
Mailing Address - Street 2:
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41701-1021
Mailing Address - Country:US
Mailing Address - Phone:606-438-2146
Mailing Address - Fax:
Practice Address - Street 1:133 SUMAC ST
Practice Address - Street 2:
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701-1021
Practice Address - Country:US
Practice Address - Phone:606-438-2146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-25
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY014075183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist