Provider Demographics
NPI:1932434859
Name:FRITH, CRAIG ROSS (RPH)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:ROSS
Last Name:FRITH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8810 RAMSBURY WAY
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-7790
Mailing Address - Country:US
Mailing Address - Phone:910-442-9566
Mailing Address - Fax:910-793-8230
Practice Address - Street 1:6861 MARKET ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-9724
Practice Address - Country:US
Practice Address - Phone:910-793-4924
Practice Address - Fax:910-793-8230
Is Sole Proprietor?:No
Enumeration Date:2009-10-09
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15151183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist