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Kenneth J Fitzgerald
Community/Retail Pharmacy in Bangs, Texas
NPI 1407935380

Kenneth J Fitzgerald is a Community/Retail Pharmacy based in Bangs, TX and is specialized in Community/Retail Pharmacy. Kenneth J Fitzgerald practices in Bangs, TX. The NPI Number for Kenneth J Fitzgerald is 1407935380 and holds a License No. (Texas).

The current practice location address for Kenneth J Fitzgerald is 104 E Kyle St, Bangs, TX and can be reached out via phone at 325-752-7214 and via fax at 325-752-7134.

Location: 104 E Kyle St, Bangs, TX, 76823-0459
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407935380
Provider Name
Kenneth J Fitzgerald
Credential
Provider Entity Type
Organization
Address
104 E Kyle St, Bangs, TX, 76823-0459
Phone Number
325-752-7214
Fax Number
325-752-7134
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
140909 05 TX
4542824 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
104 E Kyle St
City
Bangs
State
Texas
Zip
76823-3146
Phone Number
325-752-7214
Fax Number
325-752-7134
person
Provider Business Mailing Address Details
Address
104 E Kyle St
City
Bangs
State
Texas
Zip
76823-3146
Phone Number
325-752-7214
Fax Number
325-752-7134
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
01136 (Texas)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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