NPI | 1154425114 |
---|---|
Doing Business As | FITZPATRICK PHARMACY INC |
Entity Type | Organization |
Authorized Contact | MARK RATHGEBER Owner 636-394-6622 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MO PS006166) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2006-09-12 |
Last Update Date | 2017-01-17 |