Provider Demographics
NPI:1790907210
Name:FISHER, ALBERT ANTHONY (RPH)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:ANTHONY
Last Name:FISHER
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 1:1116 BABCOCK BLVD
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59015
Mailing Address - Country:US
Mailing Address - Phone:406-245-5325
Mailing Address - Fax:
Practice Address - Street 1:1116 BABCOCK BLVD
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59015
Practice Address - Country:US
Practice Address - Phone:406-245-5325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2766183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist