Organization
FITZGERALD BETHEL PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD MARK FITZGERALD (GM)
(513) 734-7335
Entity
Organization
Contact information
Practice address
697 W PLANE ST, BETHEL, OH 45106-9573
(513) 734-3784
(513) 734-3795
Mailing address
697 W PLANE ST, BETHEL, OH 45106-9573
(513) 734-3784
(513) 734-3795
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22165350
—
OH
Enumeration date
05/22/2019
Last updated
05/22/2019
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