CLETUS LESIA GANA FOMBAN PH 60759925
NPI 1265941256
Pharmacist in Tumwater, WA
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
Specialties & Licenses
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.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.