Most Relevant Information
Provider Data
| NPI Number: | 1003403304 |
| Provider Name: | ELISE FISHEL |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PS59653 |
Most Important Dates
| Enumeration Date: | 12/22/2020 |
| Last Updated: | 12/22/2020 |
Provider Practice Location
2849 N MAIN ST
BELTON
TX
765131100
Practice Location Phone/Fax
| Phone: | 2549337553 |
| Fax: |
Provider Mailing Location
6203 BLAYNEY DR
KILLEEN
TX
765495122
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |