Lori Boldt Fitzgerald, PHARM D
Individual provider Active NPI Pharmacist · Fort Harrison, MT
NPI 1881613404 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1881613404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 3287 (MT)
- Practice address
- 1892 Williams Street
Pharmacy 119
Fort Harrison, MT 59636 - Phone
- (406) 447-7572
- Fax
- (406) 447-7569
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114448-6 | MN | MD | Pharmacist |
| 3287 | MT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3287 | MT | Yes |
| Pharmacist | 183500000X | 114448-6 | MN |
Addresses
Primary practice location
1892 Williams Street
Pharmacy 119
Fort Harrison, MT 59636
Mailing address
212 Blake St
Helena, MT 59601-4373
Phone (406) 449-5602
Other providers in Fort Harrison, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.