Organization
FISHER INC
Active
Other names
FISHER PHARMACY AND GIFTS
Organization subpart
No
Provider details
NPI number
Authorized official
KELTON FISHER RPH (OWNER/PHARM)
(931) 381-1395
Entity
Organization
Contact information
Practice address
1396 HATCHER LN, COLUMBIA, TN 38401-3568
(931) 381-1395
(931) 388-6771
Mailing address
1396 HATCHER LN, COLUMBIA, TN 38401-3568
(931) 381-1395
(931) 388-6771
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
TN1939
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2090597
PK
—
05
—
4424002
—
TN
Enumeration date
09/20/2006
Last updated
02/16/2017
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