Healthcare Provider Details

I. General information

NPI: 1568375780
Provider Name (Legal Business Name): KATHRYN ANNE FITZGERALD RPH, BCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ELLIOT WAY
MANCHESTER NH
03103-3599
US

IV. Provider business mailing address

1 ELLIOT WAY
MANCHESTER NH
03103-3599
US

V. Phone/Fax

Practice location:
  • Phone: 603-663-2442
  • Fax: 603-663-1885
Mailing address:
  • Phone: 603-663-2442
  • Fax: 603-663-1885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number2733
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: