Provider Demographics
NPI:1194310821
Name:FLETCHER, ISELA L (PHARMACY TECHNICIAN)
Entity type:Individual
Prefix:MRS
First Name:ISELA
Middle Name:L
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 W EL DORADO BLVD
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-6502
Mailing Address - Country:US
Mailing Address - Phone:281-285-4517
Mailing Address - Fax:281-286-4540
Practice Address - Street 1:155 W EL DORADO BLVD
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-6502
Practice Address - Country:US
Practice Address - Phone:281-286-4517
Practice Address - Fax:281-286-4540
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-04
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103946183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX103946OtherTEXAS STATE BOARD OF PHARMACY