Individual
TAVIA SCOTT FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
837 S THREE NOTCH ST, ANDALUSIA, AL 36420-5321
(334) 222-1141
(334) 222-8361
Mailing address
1001 DEVONWOOD DR, ANDALUSIA, AL 36421-4300
(334) 222-4443
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14163
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14163
PHARMACIST LICENSE
AL
Enumeration date
02/16/2007
Last updated
07/08/2007
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