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Organization

DAN FITZGERALD PHARMACY,INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL D PISTINER R.PH. (OWNER)
(414) 332-8380
Entity
Organization

Contact information

Practice address
424 E SILVER SPRING DR, WHITEFISH BAY, WI 53217-5224
(414) 332-8380
(414) 332-3798
Mailing address
424 E SILVER SPRING DR, WHITEFISH BAY, WI 53217-5224
(414) 332-8380
(414) 332-3798

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9716
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33181000
WI
Enumeration date
06/22/2006
Last updated
08/22/2020
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