Healthcare Provider Details

I. General information

NPI: 1992684419
Provider Name (Legal Business Name): CASSANDRA VICTORIA FISHER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73A WINTHROP AVE
LAWRENCE MA
01843-3716
US

IV. Provider business mailing address

790 UNION ST
ROCKLAND MA
02370-1617
US

V. Phone/Fax

Practice location:
  • Phone: 978-689-6790
  • Fax: 978-975-3727
Mailing address:
  • Phone: 781-424-2966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH23978
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: