Provider Demographics
NPI:1013106152
Name:FISH, AMBER WATTS (PHARM D)
Entity type:Individual
Prefix:DR
First Name:AMBER
Middle Name:WATTS
Last Name:FISH
Suffix:
Gender:
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:AMBER
Other - Middle Name:
Other - Last Name:WATTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:537 ATLANTIC ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-2920
Mailing Address - Country:US
Mailing Address - Phone:828-612-6231
Mailing Address - Fax:
Practice Address - Street 1:537 ATLANTIC ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-2920
Practice Address - Country:US
Practice Address - Phone:828-612-6231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-15
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH023729183500000X
NC18992183500000X
WY3963183500000X
CO0021748183500000X
LA022176183500000X
TX46748183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist