| 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 |