Provider Demographics
NPI:1922064369
Name:FRITSCH, MICHELLE A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:A
Last Name:FRITSCH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:16326 MATTHEWS RD
Mailing Address - Street 2:
Mailing Address - City:MONKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21111-1506
Mailing Address - Country:US
Mailing Address - Phone:410-532-5060
Mailing Address - Fax:410-532-5353
Practice Address - Street 1:4701 N CHARLES ST
Practice Address - Street 2:SCHOOL OF PHARMACY
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-2404
Practice Address - Country:US
Practice Address - Phone:410-532-5060
Practice Address - Fax:410-532-5353
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC141091835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy