MEDICARE: DAN FITZGERALD 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	183500000X	Pharmacist	9716	WI

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	:	1841236304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAN FITZGERALD PHARMACY,INC

Provider Business Mailing Address
First Line	:	424 E SILVER SPRING DR
Second Line	:
City	:	WHITEFISH BAY
State	:	WI
Zip	:	53217-5224
Country	:	US
Telephone Number	:	414-332-8380
Fax Number	:	414-332-3798

Provider Business Practice Location Address
First Line	:	424 E SILVER SPRING DR
Second Line	:
City	:	WHITEFISH BAY
State	:	WI
Zip	:	53217-5224
Country	:	US
Telephone Number	:	414-332-8380
Fax Number	:	414-332-3798

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL D PISTINER
Credential	:	R.PH.
Telephone Number	:	414-332-8380

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1578817375 — ADAM JACOB PISTINER PHARM.D
Practice Location Address:

424 E SILVER SPRING DR
WHITEFISH BAY, WI
53217-5224

Practice Phone: 414-332-8380
Practice Fax:

1235771759 — FITZGERALD LLC
Practice Location Address:

424 E SILVER SPRING DR
WHITEFISH BAY, WI
53217-5224

Practice Phone: 414-909-1111
Practice Fax: 414-909-1992

1942468848 — DR. GAURI GOYAL PATEL DDS
Practice Location Address:

400 E SILVER SPRING DR
MILWAUKEE, WI
53217-5224

Practice Phone: 414-332-6010
Practice Fax: 414-322-1850

1790399665 — BAYSHORE DENTAL SC
Practice Location Address:

400 E SILVER SPRING DR
MILWAUKEE, WI
53217-5224

Practice Phone: 414-332-6010
Practice Fax: 414-322-1850

1427007624 — HERBERT S COUSSONS MD
Practice Location Address:

2411 HOLMGREN WAY
GREEN BAY, WI
54304-5224

Practice Phone: 920-888-2828
Practice Fax: 888-876-4773

1164476214 — ADVANCED CARE FOR WOMEN, SC
Practice Location Address:

2411 HOLMGREN WAY
GREEN BAY, WI
54304-5224

Practice Phone: 920-888-2828
Practice Fax: 888-876-4773

Directions to “DAN FITZGERALD PHARMACY,INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.