Provider Demographics
NPI:1457603482
Name:FISHER, CHRISTOPHER SCOTT (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:SCOTT
Last Name:FISHER
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 S MO PAC EXPY
Mailing Address - Street 2:TARGET 1061
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-1112
Mailing Address - Country:US
Mailing Address - Phone:512-892-3753
Mailing Address - Fax:
Practice Address - Street 1:5300 S MO PAC EXPY
Practice Address - Street 2:TARGET 1061
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-1112
Practice Address - Country:US
Practice Address - Phone:512-892-3753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52247183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist