Fitzpatrick Pharmacy Inc
LBN: Fitzpatrick Pharmacy Inc
Fitzpatrick Pharmacy Inc is an health care organization with primary practice located at 15394 Manchester Rd , Ballwin MO 63011-3052. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Fitzpatrick Pharmacy Inc can be contacted via phone (636) 394-6622, or through Rathgeber, Mark via phone (636) 394-6622.
Contact Information
Primary practice address
15394 Manchester Rd
Ballwin MO 63011-3052
Phone: (636) 394-6622
Fax: (636) 394-9222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PS006166 | Missouri |
Profile Details
| NPI number | 1154425114 |
|---|---|
| LBN Legal business name | Fitzpatrick Pharmacy Inc |
| DBA Doing business as | Fitzpatrick Pharmacy Inc |
| Authorized official | Rathgeber, Mark RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Jan 17th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154425114 | NPPES |
| Other | 2049588 | PK | |
| MEDICAID | 600397301 | PK | |
| MEDICAID | 620397307 | PK |
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