Paul Fritschka, RPH
Individual provider Active NPI Pharmacist · Sister Bay, WI
NPI 1295089100 · NPPES record last updated Oct 30, 2012
Key facts
- NPI
- 1295089100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 8886-040 (WI)
- Practice address
- 2541 S Bay Shore Dr
Sister Bay, WI 54234-9158 - Phone
- (920) 854-9182
- Fax
- (920) 854-9184
- NPI assigned
- Oct 30, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8886-040 | WI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8886-040 | WI | Yes |
Addresses
Primary practice location
2541 S Bay Shore Dr
Sister Bay, WI 54234-9158
Mailing address
2541 S Bay Shore Dr
PO Box 139
Sister Bay, WI 54234-9158
Phone (920) 854-9182
Other providers in Sister Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.