Provider Demographics
NPI:1346335932
Name:F & F PHARMACIES
Entity Type:Organization
Organization Name:F & F PHARMACIES
Other - Org Name:JUNGLE JIM'S OLDE FASHIONED PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GM
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:M
Authorized Official - Last Name:FITZGERALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-734-7335
Mailing Address - Street 1:100 E PLANE
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:OH
Mailing Address - Zip Code:45106
Mailing Address - Country:US
Mailing Address - Phone:513-734-7335
Mailing Address - Fax:513-734-3604
Practice Address - Street 1:5440 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014
Practice Address - Country:US
Practice Address - Phone:513-858-3784
Practice Address - Fax:513-858-3807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2547319Medicaid
OH4086150004Medicare ID - Type Unspecified