Provider Demographics
NPI:1750678793
Name:FITZMAURICE, CHRIS (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:
Last Name:FITZMAURICE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20255 W. 154TH ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-7055
Mailing Address - Country:US
Mailing Address - Phone:913-782-8756
Mailing Address - Fax:
Practice Address - Street 1:20255 W 154TH ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-7055
Practice Address - Country:US
Practice Address - Phone:913-782-8756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-28
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-14448183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist