Healthcare Provider Details
I. General information
NPI: 1982925095
Provider Name (Legal Business Name): CHRISTINA MARIE FISCHER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/13/2010
Last Update Date: 06/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
955 TAMARACK AVE
CARLSBAD CA
92008-3414
US
IV. Provider business mailing address
1319 CASSINS ST
CARLSBAD CA
92011-4857
US
V. Phone/Fax
- Phone: 760-729-4877
- Fax:
- Phone: 760-431-5580
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 40382 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: