| NPI | 1104618776 |
|---|---|
| Doing Business As | FAIRVIEW RANGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEAN MACDONELL Regional President & CEO 218-362-6730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-05-20 |