MEDICARE: AMBER FICHTNER PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	60540	CA

General Provider Information

NPI Number	:	1255627436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER FICHTNER PHARMD

Provider Business Mailing Address
First Line	:	2121 S CLEVELAND AVE
Second Line	:
City	:	SAINT JOSEPH
State	:	MI
Zip	:	49085-2601
Country	:	US
Telephone Number	:	269-983-5847
Fax Number	:

Provider Business Practice Location Address
First Line	:	2121 S CLEVELAND AVE
Second Line	:
City	:	SAINT JOSEPH
State	:	MI
Zip	:	49085-2601
Country	:	US
Telephone Number	:	269-983-5847
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2011
Last Update Date	:	07/20/2023

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