Provider Demographics
NPI:1679972368
Name:FISHER, FELIX (PHARMD)
Entity type:Individual
Prefix:DR
First Name:FELIX
Middle Name:
Last Name:FISHER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9070 JUNCTION DR STE E
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS JUNCTION
Mailing Address - State:MD
Mailing Address - Zip Code:20701-1141
Mailing Address - Country:US
Mailing Address - Phone:240-295-3045
Mailing Address - Fax:
Practice Address - Street 1:9070 JUNCTION DR STE E
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS JUNCTION
Practice Address - State:MD
Practice Address - Zip Code:20701-1141
Practice Address - Country:US
Practice Address - Phone:240-295-3045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-19
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22425183500000X
PARPI008515183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist