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TAVIA SCOTT FISCHER PHARMD
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1912041690
Individual Registrant: TAVIA SCOTT FISCHER PHARMD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
837 S THREE NOTCH ST ANDALUSIA, AL 36420-5321 US
Tel: 334-222-1141 Fax: 334-222-8361
Tel: 334-222-1141 Fax: 334-222-8361
Contact information for business:
1001 DEVONWOOD DR ANDALUSIA, AL 36421-4300 US
Tel: 334-222-4443 Fax: --
Tel: 334-222-4443 Fax: --
Registration Information:
NPI: 1912041690
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | AL | 14163 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| PHARMACIST LICENSE | 14163 | AL | 01 |
