| NPI | 1073511242 |
|---|---|
| Doing Business As | FAIRMOUNT PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | GERARD VOLGRAF Pharmacist Manager And VP 215-567-0364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP411438L) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2015-02-23 |