MEDICARE: JOHN MICHAEL FECHTER 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	60218	SC

General Provider Information

NPI Number	:	1457197188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN MICHAEL FECHTER PHARMD

Provider Business Mailing Address
First Line	:	605 SOUTHERN CHARM RD
Second Line	:
City	:	RUFFIN
State	:	SC
Zip	:	29475-3564
Country	:	US
Telephone Number	:	843-709-9788
Fax Number	:

Provider Business Practice Location Address
First Line	:	1584 CENTRAL AVE
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29483-5528
Country	:	US
Telephone Number	:	843-871-9289
Fax Number	:

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

Provider Enumeration Date	:	07/02/2024
Last Update Date	:	07/02/2024

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