Fish, Alisa Lynn

Fish, Alisa Lynn is an individual health care provider with primary practice located at 701 Grove Rd Employee Pavilion, Greenville SC 29605-5611. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Fish, Alisa Lynn can be contacted via phone (864) 455-8910.

Contact Information

Primary practice address
701 Grove Rd Employee Pavilion Greenville SC 29605-5611
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 10927 South Carolina

Profile Details

NPI number 1154366094
LBN Legal business name Fish, Alisa Lynn
Credentials PHARMACIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154366094 NPPES
South Carolina Other 10927 PHARMACIST LICENSE

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