Individual
MR. BYRON W. FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
4849 YELLOWSTONE AVE, CHUBBUCK, ID 83202
(208) 237-3900
(208) 237-4955
Mailing address
4849 YELLOWSTONE AVE, CHUBBUCK, ID 83202
(208) 237-3900
(208) 237-4955
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4322
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P4322
IDAHO STATE BOARD OF PHARMACY
ID
Enumeration date
10/06/2011
Last updated
10/06/2011
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