Individual
AMANDA MICHELLE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5810 E 71ST ST, INDIANAPOLIS, IN 46220-4002
(317) 813-1905
Mailing address
6319 LANDBOROUGH SOUTH DR, INDIANAPOLIS, IN 46220-4354
(317) 345-2226
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26022147A
IN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26022147A
IN
Other
Enumeration date
11/19/2019
Last updated
01/24/2020
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