Individual
GARY W FISLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2415 PARKWOOD DR, BRUNSWICK, GA 31520-4722
(912) 466-2810
Mailing address
PO BOX 1064, WOODBINE, GA 31569-1064
(912) 576-1766
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12445
GA
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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