| NPI | 1043249105 |
|---|---|
| Doing Business As | FAIRMONT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN ALEXANDER BARNET Owner 626-793-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY32744) | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2022-07-07 |