# FITZGERALD SEAMAN PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FITZGERALDS SEAMAN PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205929882
- **Authorized official:** GERALD M FITZGERALD (GM)
- **Authorized official phone:** (513) 734-7335

## Contact information

- **Practice address:** 17860-A ST RT 247, SEAMAN, OH 45679
- **Practice address phone:** (937) 386-0701
- **Practice address fax:** (937) 386-1402
- **Mailing address:** PO BOX 247, SEAMAN, OH 45679-0247
- **Mailing address phone:** (937) 386-0701
- **Mailing address fax:** (513) 734-3604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 021127350 | OH | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 12/13/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2134612 | — | OH |