Individual
DR. DONOVAN FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2431 W MAIN ST, CARBONDALE, IL 62901-1039
(618) 457-0491
Mailing address
10489 HIGHWAY 149, MURPHYSBORO, IL 62966-3307
(618) 830-3278
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.300098
IL
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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