# FRITZ DRUG STORE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205986726
- **Authorized official:** TODD ANDERSON RPH (PRESIDENT)
- **Authorized official phone:** (618) 635-2267

## Contact information

- **Practice address:** 219 W MAIN ST, STAUNTON, IL 62088-1454
- **Practice address phone:** (618) 635-2267
- **Practice address fax:** (618) 635-6031
- **Mailing address:** 219 W MAIN ST, STAUNTON, IL 62088-1454
- **Mailing address phone:** (618) 635-2267
- **Mailing address fax:** (618) 635-6031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054.013820 | IL | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 04/28/2008