MEDICARE: DR. JOSEPH WILLIAM FITZWATER PHARM. D., RPH.

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	46834	TX

General Provider Information

NPI Number	:	1982948717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH WILLIAM FITZWATER PHARM. D., RPH.

Provider Business Mailing Address
First Line	:	7117 SWENSON RANCH RD
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-4467
Country	:	US
Telephone Number	:	817-600-4766
Fax Number	:

Provider Business Practice Location Address
First Line	:	7640 GLENVIEW DR
Second Line	:
City	:	RICHLAND HILLS
State	:	TX
Zip	:	76180-8330
Country	:	US
Telephone Number	:	817-284-1926
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2012
Last Update Date	:	01/20/2013

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