# FITZGERALD BETHEL PHARMACY INC

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

## Provider details

- **NPI number:** 1700443108
- **Authorized official:** GERALD MARK FITZGERALD (GM)
- **Authorized official phone:** (513) 734-7335

## Contact information

- **Practice address:** 697 W PLANE ST, BETHEL, OH 45106-9573
- **Practice address phone:** (513) 734-3784
- **Practice address fax:** (513) 734-3795
- **Mailing address:** 697 W PLANE ST, BETHEL, OH 45106-9573
- **Mailing address phone:** (513) 734-3784
- **Mailing address fax:** (513) 734-3795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2019
- **Last updated:** 05/22/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 22165350 | — | OH |