Provider Demographics
NPI:1801906730
Name:PITZING PHARMACEUTICALS INC
Entity type:Organization
Organization Name:PITZING PHARMACEUTICALS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHEAL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PITZING
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:334-794-3174
Mailing Address - Street 1:201 KIRKLAND STREET
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36310
Mailing Address - Country:US
Mailing Address - Phone:334-585-2288
Mailing Address - Fax:334-585-3864
Practice Address - Street 1:201 KIRKLAND STREET
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36310
Practice Address - Country:US
Practice Address - Phone:334-585-2288
Practice Address - Fax:334-585-3864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL112315183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty