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NPI Code Detail

MEDICARE: LYDIA FRITSCHE PHARMD

MEDICARE: LYDIA FRITSCHE 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
1183500000XPharmacist4618WY

General Provider Information

NPI Number : 1043195068
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYDIA FRITSCHE PHARMD
Provider Business Mailing Address
First Line : 185 HIGH ST APT 4
Second Line :
City : BUFFALO
State : WY
Zip : 82834-1862
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 431 FORT ST
Second Line :
City : BUFFALO
State : WY
Zip : 82834-1805
Country : US
Telephone Number : 307-684-7003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2025
Last Update Date : 08/08/2025

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Directions to “ LYDIA FRITSCHE PHARMD” Practice Location

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