Organization
FIDELITY HEALTH CARE INC
Active
Other names
Premier Health Pharmacy-Fidelity
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC NAPIER (DIRECTOR)
(937) 208-6534
Entity
Organization
Contact information
Practice address
3170 KETTERING BLVD BLDG B, MORAINE, OH 45439-1924
(937) 208-7966
(937) 208-7969
Mailing address
3170 KETTERING BLVD BLDG B, MORAINE, OH 45439-1924
(937) 208-6400
(937) 641-2363
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
CLPH022566500-03
OH
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2156142
PK
—
Enumeration date
12/22/2015
Last updated
12/16/2020
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