MEDICARE: NICHOLAS DANIEL BITZ PHARM.D., R.PH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	6382	SD
2	183500000X	Pharmacist	03334585	OH

General Provider Information

NPI Number	:	1306310628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS DANIEL BITZ PHARM.D., R.PH

Provider Business Mailing Address
First Line	:	19875 CENTER RIDGE RD APT 439
Second Line	:
City	:	ROCKY RIVER
State	:	OH
Zip	:	44116-3655
Country	:	US
Telephone Number	:	440-821-8689
Fax Number	:

Provider Business Practice Location Address
First Line	:	3909 ORANGE PL STE 1100
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-4480
Country	:	US
Telephone Number	:	216-896-1825
Fax Number	:	216-896-1824

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2019
Last Update Date	:	01/21/2019

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