Individual
MR. THOMAS FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2640 WAGGONER AVE, SHREVEPORT, LA 71108-3859
(318) 631-2065
Mailing address
5503 BAYOU DR, BOSSIER CITY, LA 71112-4905
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.011039
LA
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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