Provider Demographics
NPI:1205986304
Name:FISHER DRUG CO.
Entity type:Organization
Organization Name:FISHER DRUG CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:BUDERER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:419-626-3429
Mailing Address - Street 1:629 HANCOCK ST
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-3603
Mailing Address - Country:US
Mailing Address - Phone:419-626-3429
Mailing Address - Fax:419-626-0494
Practice Address - Street 1:629 HANCOCK ST
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-3603
Practice Address - Country:US
Practice Address - Phone:419-626-3429
Practice Address - Fax:419-626-0494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3616212OtherNCPDP