MEDICARE: MULDOON-FITZ ENTERPRISES INC

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	333600000X	Pharmacy

General Provider Information

NPI Number	:	1386398733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MULDOON-FITZ ENTERPRISES INC

Provider Business Mailing Address
First Line	:	1121 BETHLEHEM PIKE STE 40
Second Line	:
City	:	SPRING HOUSE
State	:	PA
Zip	:	19477-1102
Country	:	US
Telephone Number	:
Fax Number	:	215-646-1963

Provider Business Practice Location Address
First Line	:	1121 BETHLEHEM PIKE STE 40
Second Line	:
City	:	SPRING HOUSE
State	:	PA
Zip	:	19477-1102
Country	:	US
Telephone Number	:	215-646-1691
Fax Number	:

Authorized Official
Title or Position	:	COMPLIANCE OFFICER
Name	:	PATRICIA ISTENES
Credential	:
Telephone Number	:	484-769-7322

Provider Enumeration Date	:	02/04/2022
Last Update Date	:	01/03/2025

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