NPI | 1104694371 |
---|---|
Other Name | FAIRMONT PHARMACY LTC |
Entity Type | Organization |
Authorized Contact | BEATLE THIEN-PHUOC TRAN CEO 916-938-9556 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2023-12-18 |
Last Update Date | 2023-12-18 |