Provider Demographics
NPI:1992741359
Name:FISCHER PHARMACARE, LLC
Entity type:Organization
Organization Name:FISCHER PHARMACARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:FEICHTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-969-3196
Mailing Address - Street 1:112 N ORANGE ST
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:IN
Mailing Address - Zip Code:46701-1027
Mailing Address - Country:US
Mailing Address - Phone:260-636-2944
Mailing Address - Fax:
Practice Address - Street 1:112 N ORANGE ST
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:IN
Practice Address - Zip Code:46701-1027
Practice Address - Country:US
Practice Address - Phone:260-636-2944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN60005529A3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN4030810002Medicaid