Provider Demographics
NPI:1649037581
Name:FITZGERALD & HULING PHARMACY INC
Entity type:Organization
Organization Name:FITZGERALD & HULING PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:FITZGERALD
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:513-734-7335
Mailing Address - Street 1:100 E PLANE ST
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:OH
Mailing Address - Zip Code:45106-1384
Mailing Address - Country:US
Mailing Address - Phone:513-449-1901
Mailing Address - Fax:513-734-3979
Practice Address - Street 1:305 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:OH
Practice Address - Zip Code:45176-1309
Practice Address - Country:US
Practice Address - Phone:513-449-1901
Practice Address - Fax:513-734-3979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty