Healthcare Provider Details

I. General information

NPI: 1992077085
Provider Name (Legal Business Name): DONALD L FISCHER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2012
Last Update Date: 02/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6485 WILMINGTON PIKE
BELLBROOK OH
45459
US

IV. Provider business mailing address

7646 CLOVERBROOK PARK DR.
CENTERVILLE OH
45459-5005
US

V. Phone/Fax

Practice location:
  • Phone: 937-433-5314
  • Fax: 937-433-3743
Mailing address:
  • Phone: 937-434-9867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number03108036
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03108036
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: