Individual
MRS. ANNE WINNE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
615 BROADWAY, MILLBRAE, CA 94030-1909
(650) 697-0166
Mailing address
830 CRESTVIEW DR, SAN CARLOS, CA 94070-3457
(650) 591-4749
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202004672
VA
183500000X
Pharmacist
03111153
OH
183500000X
Pharmacist
Primary
032526
CA
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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