Organization
FITZGERALD BETHEL PHARMACY INC
Active
Other names
Fitzgerald's Bethel Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FITZGERALD (VP)
(513) 734-7335
Entity
Organization
Contact information
Practice address
697 W PLANE ST, BETHEL, OH 45106-9573
(513) 734-3784
Mailing address
PO BOX 247, BETHEL, OH 45106-0247
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
022165350
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3680091
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/06/2011
Last updated
07/18/2012
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