NPI | 1144383613 |
---|---|
Doing Business As | FAIRVIEW PHARMACY & COMPOUNDING |
Entity Type | Organization |
Authorized Contact | GLADYS BARNETT R. Ph. 601-544-4871 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: MS 01066/1.1) |
Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
3336C0004X Pharmacy Compounding Pharmacy | |
Enumeration Date | 2006-12-18 |
Last Update Date | 2016-06-16 |