Provider Demographics
NPI:1235197534
Name:PITZING PHARMACEUTICALS, INC.
Entity Type:Organization
Organization Name:PITZING PHARMACEUTICALS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:PITZING
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:334-794-3174
Mailing Address - Street 1:1023 S OATES ST
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-3543
Mailing Address - Country:US
Mailing Address - Phone:334-794-3174
Mailing Address - Fax:334-794-2431
Practice Address - Street 1:1023 S OATES ST
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-3543
Practice Address - Country:US
Practice Address - Phone:334-794-3174
Practice Address - Fax:334-794-2431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL112316332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51513215OtherBCBS OF ALABAMA
AL009913965Medicaid
AL009913965Medicaid