Provider Demographics
NPI:1326454091
Name:FISHER, HERBERT III (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:
Last Name:FISHER
Suffix:III
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:TREY
Other - Middle Name:
Other - Last Name:FISHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1901 KELLY LANE
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660
Mailing Address - Country:US
Mailing Address - Phone:737-888-6047
Mailing Address - Fax:737-888-6038
Practice Address - Street 1:1901 KELLY LANE
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660
Practice Address - Country:US
Practice Address - Phone:737-888-6047
Practice Address - Fax:737-888-6038
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54803183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist