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Organization

FITZGERALD BETHEL PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GERALD MARK FITZGERALD (VP)
(513) 257-5477
Entity
Organization

Contact information

Practice address
697 W PLANE ST, BETHEL, OH 45106-9573
(513) 734-3784
Mailing address
697 W PLANE ST, BETHEL, OH 45106-9573
(513) 257-5477

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
22165350
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
57918
OH
Enumeration date
08/22/2018
Last updated
08/22/2018
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