Fisher, Byron W.

Fisher, Byron W. is an individual health care provider with primary practice located at 4849 Yellowstone Ave , Chubbuck ID 83202. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Fisher, Byron W. can be contacted via phone (208) 237-3900.

Contact Information

Primary practice address
4849 Yellowstone Ave Chubbuck ID 83202
Phone: (208) 237-3900
Fax: (208) 237-4955
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P4322 Idaho

Profile Details

NPI number 1558645705
LBN Legal business name Fisher, Byron W.
Credentials RPH.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2011
Last updated Oct 6th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558645705 NPPES
Idaho Other P4322 IDAHO STATE BOARD OF PHARMACY

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