MEDICARE: VALERIE FLETCHER PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RPH49804	CA

General Provider Information

NPI Number	:	1235420118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE FLETCHER PHARMD

Provider Business Mailing Address
First Line	:	6900 ELKHORN ST
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93313-4924
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9000 MING AVE STE A
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93311-1319
Country	:	US
Telephone Number	:	661-663-0171
Fax Number	:	661-663-7853

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2011
Last Update Date	:	04/26/2011

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