Individual
ANDREA FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3177 LATTA RD, ROCHESTER, NY 14612-3094
(585) 225-6111
(585) 723-6289
Mailing address
3177 LATTA RD, ROCHESTER, NY 14612-3094
(585) 225-6111
(585) 621-9467
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
052885
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052885
PHARMACIST LICENSE #
NY
Enumeration date
03/10/2010
Last updated
03/11/2022
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