Cletus Gana Fomban, PH 60759925
NPI 1265941256 · Pharmacist · Tumwater, WA
Cletus Gana Fomban, PH 60759925 is a Pharmacist provider in Tumwater, WA (NPI 1265941256).
Provider details
- NPI number
- 1265941256
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PH 60759925
- Sex
- Male
- Sole proprietor
- No
- License
- PH60759925 (WA)
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-09-22
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.