Individual
LEONARD FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
520 S. MAIN, GUNNISON, UT 84634
(435) 528-7555
(435) 528-7553
Mailing address
PO BOX 716, GUNNISON, UT 84634-0716
(435) 528-7555
(435) 528-7553
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
131956-1701
UT
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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