Individual provider · Type 1 NPI

Cletus Lesia Gana Fomban, PH 60759925

Pharmacist · Tumwater, WA

NPI number 1265941256 Active

Practice location

702 Trosper Rd SW
Tumwater, WA 98512

Call (360) 943-5178 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPH60759925 (WA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

7 other providers at this address

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About NPI 1265941256

Cletus Lesia Gana Fomban, PH 60759925's National Provider Identifier is 1265941256, issued on Sep 22, 2017. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Tumwater, WA. The record was last updated on Jul 21, 2022.