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Organization
FIDELITY HEALTH CARE INC
Active
Organization
FIDELITY HEALTH CARE INC
Active
Other names
Premier Health Pharmacy - MVH
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC NAPIER (DIRECTOR)
(937) 208-6534
Entity
Organization
Contact information
Practice address
1 WYOMING ST, 1ST FLOOR, DAYTON, OH 45409-2722
(937) 208-4848
(937) 208-4300
Mailing address
3170 KETTERING BLVD, MORAINE, OH 45439-1924
(937) 208-6534
(937) 641-2363
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
CLPH022563550-03
OH
3336C0003X
Community/Retail Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2081087
PK
—
05
—
2778089
—
OH
Enumeration date
11/21/2007
Last updated
12/16/2020
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