Cletus Lesia Gana Fomban, PH 60759925 - Pharmacist in Tumwater, WA

Cletus Lesia Gana Fomban, PH 60759925 is a Pharmacist based in Tumwater, Washington. Cletus Lesia Gana Fomban is licensed to practice in Washington (license number PH60759925) and his current practice location is 702 Trosper Rd Sw, Tumwater, Washington. He can be reached at his office (for appointments etc.) via phone at (360) 943-5178.

NPI number for Cletus Lesia Gana Fomban is 1265941256 and his current mailing address is 702 Trosper Rd Sw, Tumwater, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265941256.

Contact Information

Cletus Lesia Gana Fomban, PH 60759925
702 Trosper Rd Sw,
Tumwater, WA 98512
(360) 943-5178
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameCletus Lesia Gana Fomban
GenderMale
SpecialityPharmacist
Location702 Trosper Rd Sw, Tumwater, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265941256
  • Provider Enumeration Date: 09/22/2017
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Cletus Lesia Gana Fomban such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265941256NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist PH60759925 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cletus Lesia Gana Fomban is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cletus Lesia Gana Fomban, PH 60759925
702 Trosper Rd Sw,
Tumwater, WA 98512-6934

Ph: (360) 943-5178
Cletus Lesia Gana Fomban, PH 60759925
702 Trosper Rd Sw,
Tumwater, WA 98512

Ph: (360) 943-5178

Reviews and Comments


Pharmacist in Tumwater, WA

David Chaquette,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 5500 Little Rk Rd Sw, Tumwater, WA 98512
Phone: 360-357-7290    Fax: 360-943-9212
Dr. Faye Taylor Swanson, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 702 Trosper Rd Sw, Tumwater, WA 98512
Phone: 360-943-5178    
Emily Rapesak,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 500 Cleveland Ave Se, Tumwater, WA 98501
Phone: 360-943-1830    
Mary Elizabeth Walker, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 5500 Littlerock Rd Sw, Tumwater, WA 98512
Phone: 360-357-7290    Fax: 360-943-9212
Annie Szeto,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 702 Trosper Rd Sw, Tumwater, WA 98512
Phone: 360-943-5178    
Mr. Richard Graham, PHARMACIST
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 520 Cleveland Ave Se, Tumwater, WA 98501
Phone: 360-943-7600    
Thuy-an Tran Nguyen, PHARM. D.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1206 Palomino Dr Se, Tumwater, WA 98501
Phone: 360-313-6689    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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