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NPI Code Detail

MEDICARE: DR. MICHAEL BRIAN FITZGERALD PHARMD

MEDICARE: DR. MICHAEL BRIAN FITZGERALD PHARMD
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
1183500000XPharmacist16875AL

General Provider Information

NPI Number : 1437672862
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL BRIAN FITZGERALD PHARMD
Provider Business Mailing Address
First Line : 1547 REYNOLDS DR
Second Line :
City : AUBURN
State : AL
Zip : 36830
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1717 S COLLEGE ST
Second Line :
City : AUBURN
State : AL
Zip : 36832-5870
Country : US
Telephone Number : 334-821-2616
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2017
Last Update Date : 07/18/2017

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