# FIDELITY HEALTH CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Health Pharmacy-Fidelity
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174988869
- **Authorized official:** ERIC NAPIER (DIRECTOR)
- **Authorized official phone:** (937) 208-6534

## Contact information

- **Practice address:** 3170 KETTERING BLVD BLDG B, MORAINE, OH 45439-1924
- **Practice address phone:** (937) 208-7966
- **Practice address fax:** (937) 208-7969
- **Mailing address:** 3170 KETTERING BLVD BLDG B, MORAINE, OH 45439-1924
- **Mailing address phone:** (937) 208-6400
- **Mailing address fax:** (937) 641-2363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | CLPH022566500-03 | OH | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/22/2015
- **Last updated:** 12/16/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2156142 | PK | — |
