Organization
FITZGERALD SEAMAN PHARMACY, INC.
Active
Other names
FITZGERALDS SEAMAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD M FITZGERALD (GM)
(513) 734-7335
Entity
Organization
Contact information
Practice address
17860-A ST RT 247, SEAMAN, OH 45679
(937) 386-0701
(937) 386-1402
Mailing address
PO BOX 247, SEAMAN, OH 45679-0247
(937) 386-0701
(513) 734-3604
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021127350
OH
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2134612
—
OH
Enumeration date
10/02/2006
Last updated
12/13/2021
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