| NPI | 1184941585 |
|---|---|
| Doing Business As | FAIRMONT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GREG ROLLER Pharmacy Manager 602-319-1732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AZ Y005270) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |