Individual
DR. CARISSA FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
702 SW 8TH ST, BENTONVILLE, AR 72716-6209
(404) 915-5969
Mailing address
404 SE B ST, BENTONVILLE, AR 72712-5941
(404) 915-5969
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026569
GA
Other
Enumeration date
09/03/2018
Last updated
09/03/2018
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