Healthcare Provider Details

I. General information

NPI: 1154567808
Provider Name (Legal Business Name): LISA L FISHER PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2008
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5973 STATE HIGHWAY 250
RUSHVILLE NE
69360-5234
US

IV. Provider business mailing address

5973 STATE HIGHWAY 250
RUSHVILLE NE
69360-5234
US

V. Phone/Fax

Practice location:
  • Phone: 308-360-1329
  • Fax: 308-888-6816
Mailing address:
  • Phone: 308-360-1329
  • Fax: 308-888-6816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number11236
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: