Healthcare Provider Details

I. General information

NPI: 1841990728
Provider Name (Legal Business Name): DARIUS FISHER PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2023
Last Update Date: 03/08/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15150 US HIGHWAY 150
PARIS IL
61944-6615
US

IV. Provider business mailing address

110 W LINCOLN ST
WESTFIELD IL
62474-1400
US

V. Phone/Fax

Practice location:
  • Phone: 217-466-5818
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051305087
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: