Provider Demographics
NPI:1043740236
Name:FISCHER, JD STEVEN I (RPH)
Entity Type:Individual
Prefix:
First Name:JD
Middle Name:STEVEN
Last Name:FISCHER
Suffix:I
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3570 HARTSEL DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-4165
Mailing Address - Country:US
Mailing Address - Phone:719-590-1099
Mailing Address - Fax:
Practice Address - Street 1:777 GOLD HILL PL S
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863-1101
Practice Address - Country:US
Practice Address - Phone:719-687-6007
Practice Address - Fax:719-687-9017
Is Sole Proprietor?:No
Enumeration Date:2017-06-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0014389183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist