Provider Demographics
NPI:1659530541
Name:FISHER BIOSERVICES
Entity Type:Organization
Organization Name:FISHER BIOSERVICES
Other - Org Name:FISHER BIOSERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AREA DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:301-315-8424
Mailing Address - Street 1:14665 ROTHGEB DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5312
Mailing Address - Country:US
Mailing Address - Phone:301-315-8426
Mailing Address - Fax:301-294-4795
Practice Address - Street 1:14665 ROTHGEB DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-5312
Practice Address - Country:US
Practice Address - Phone:301-315-8426
Practice Address - Fax:301-294-4795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336M0002X
MDP043123336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2036870OtherPK