CLETUS LESIA GANA FOMBAN PH 60759925
NPI 1265941256
Pharmacist in Tumwater, WA

Active since September 22, 2017
702 TROSPER RD SW, TUMWATER, WA 98512(360) 943-5178 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Sep 22, 2017 (2 updates tracked since 2017).

About Cletus Lesia Gana Fomban Ph 60759925 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLETUS LESIA GANA FOMBAN PH 60759925 (NPI 1265941256) is an individual pharmacist in Tumwater, Washington, licensed in Washington (PH60759925) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1265941256
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameCLETUS LESIA GANA FOMBANCredential: PH 60759925
Location Address702 TROSPER RD SWTumwater, WA 98512
Mailing Address702 Trosper Rd SwTumwater, WA 98512-6934 · (360) 943-5178
Sole ProprietorNo
Enumeration DateSeptember 22, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1265941256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WA · PH60759925
Definition

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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

702 TROSPER RD SW, Tumwater, WA 98512

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
702 TROSPER RD SW
TUMWATER, WA 98512
Pharmacist
702 TROSPER RD SW
TUMWATER, WA 98512
Pharmacist
702 TROSPER RD SW
TUMWATER, WA 98512
Pharmacist
702 TROSPER RD SW
TUMWATER, WA 98512
Pharmacist
702 TROSPER RD SW
TUMWATER, WA 98512
Pharmacy
702 TROSPER RD SW
TUMWATER, WA 98512
Pharmacist
702 TROSPER RD SW
TUMWATER, WA 98512

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cletus Gana Fomban's NPI number?

The NPI number for Cletus Gana Fomban is 1265941256. It was assigned to this individual provider in the NPPES registry on September 22, 2017.

Where is Cletus Gana Fomban located?

Cletus Gana Fomban practices at 702 Trosper Rd SW, Tumwater, WA 98512. The listed phone number is (360) 943-5178.

What is Cletus Gana Fomban's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Cletus Gana Fomban was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.