Provider Demographics
NPI:1114359320
Name:FISCHERR, RICARD WESLEY (RPH)
Entity Type:Individual
Prefix:
First Name:RICARD
Middle Name:WESLEY
Last Name:FISCHERR
Suffix:
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 1:163 PEACHTREE ST
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-3127
Mailing Address - Country:US
Mailing Address - Phone:616-260-8021
Mailing Address - Fax:
Practice Address - Street 1:2351 US 70 HWY
Practice Address - Street 2:
Practice Address - City:SWANNANOA
Practice Address - State:NC
Practice Address - Zip Code:28778-8207
Practice Address - Country:US
Practice Address - Phone:828-686-7111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18777183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist