Provider Demographics
NPI:1043518020
Name:FITZPATRICK, JOHN MILTON (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:MILTON
Last Name:FITZPATRICK
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2740 WOODLAND RD
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35404-5032
Mailing Address - Country:US
Mailing Address - Phone:205-553-5114
Mailing Address - Fax:
Practice Address - Street 1:521 UNIVERSITY BLVD E
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-2023
Practice Address - Country:US
Practice Address - Phone:205-758-4423
Practice Address - Fax:204-758-7538
Is Sole Proprietor?:No
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6280183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist