MEDICARE: FITZGERALD & HULING PHARMACY 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	3336C0003X	Community/Retail Pharmacy	020102450	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427141019
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FITZGERALD & HULING PHARMACY INC

Provider Business Mailing Address
First Line	:	100 E PLANE ST
Second Line	:
City	:	BETHEL
State	:	OH
Zip	:	45106-1384
Country	:	US
Telephone Number	:	513-734-7335
Fax Number	:	513-734-3604

Provider Business Practice Location Address
First Line	:	305 WEST MAIN
Second Line	:
City	:	WILLIAMSBURG
State	:	OH
Zip	:	45176
Country	:	US
Telephone Number	:	513-724-7081
Fax Number	:	513-724-3979

Authorized Official
Title or Position	:	GM
Name	:	GERALD M FITZGERALD
Credential	:
Telephone Number	:	513-734-7335

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	08/08/2008

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Directions to “FITZGERALD & HULING PHARMACY INC ” Practice Location

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