| NPI | 1114144292 |
|---|---|
| Doing Business As | FAIRFAX DRUG CO. |
| Entity Type | Organization |
| Authorized Contact | NANCY E MARTIN President 334-756-2305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 259) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2012-06-20 |