Provider Demographics
NPI:1629832670
Name:MULDOON-FITZ ENTERPRISES INC
Entity Type:Organization
Organization Name:MULDOON-FITZ ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCVAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:215-646-1691
Mailing Address - Street 1:1121 BETHLEHEM PIKE STE 40
Mailing Address - Street 2:
Mailing Address - City:SPRING HOUSE
Mailing Address - State:PA
Mailing Address - Zip Code:19477-1102
Mailing Address - Country:US
Mailing Address - Phone:215-646-1691
Mailing Address - Fax:215-646-1963
Practice Address - Street 1:1121 BETHLEHEM PIKE STE 40
Practice Address - Street 2:
Practice Address - City:SPRING HOUSE
Practice Address - State:PA
Practice Address - Zip Code:19477-1102
Practice Address - Country:US
Practice Address - Phone:215-646-1691
Practice Address - Fax:215-646-1963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy