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Organization
FITZGERALD SEAMAN PHARMACY
Active
Organization
FITZGERALD SEAMAN PHARMACY
Active
Other names
Fitzgerald Seaman Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD MARK FITZGERALD (VP)
(513) 734-7335
Entity
Organization
Contact information
Practice address
17860 ST RT 247, SEAMAN, OH 45679
(379) 386-0701
Mailing address
17860 ST RT 247, SEAMAN, OH 45679
(379) 386-0701
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
452899976
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2134612
—
OH
Enumeration date
08/22/2018
Last updated
08/22/2018
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