Healthcare Provider Details

I. General information

NPI: 1922064369
Provider Name (Legal Business Name): MICHELLE A FRITSCH PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 07/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 N CHARLES ST SCHOOL OF PHARMACY
BALTIMORE MD
21210-2404
US

IV. Provider business mailing address

16326 MATTHEWS RD
MONKTON MD
21111-1506
US

V. Phone/Fax

Practice location:
  • Phone: 410-532-5060
  • Fax: 410-532-5353
Mailing address:
  • Phone: 410-532-5060
  • Fax: 410-532-5353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number14109
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: