Healthcare Provider Details

I. General information

NPI: 1245148014
Provider Name (Legal Business Name): MOLLY EVELYN FISKE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 ARMSTRONG RD
BATTLE CREEK MI
49037-7314
US

IV. Provider business mailing address

4386 GULL PRAIRIE DR APT 3B
KALAMAZOO MI
49048-3119
US

V. Phone/Fax

Practice location:
  • Phone: 269-966-5600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302419249
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: