Provider Demographics
NPI:1679738009
Name:FRITZ, DARCY LYNN (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:DARCY
Middle Name:LYNN
Last Name:FRITZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:DARCY
Other - Middle Name:LYNN
Other - Last Name:GAUDIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3934 VINE AVE
Mailing Address - Street 2:
Mailing Address - City:HARTLEY
Mailing Address - State:IA
Mailing Address - Zip Code:51346
Mailing Address - Country:US
Mailing Address - Phone:712-261-2049
Mailing Address - Fax:
Practice Address - Street 1:CHEROKEE MAIN STREET PHARMACY
Practice Address - Street 2:218 E. MAIN ST.
Practice Address - City:CHEROKEE
Practice Address - State:IA
Practice Address - Zip Code:51012
Practice Address - Country:US
Practice Address - Phone:712-225-2320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20797183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist