| NPI | 1295824845 |
|---|---|
| Doing Business As | FAIRMOUNT PHARMACY SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | GERARD VOLGRAF Member LLC Pharmacist 215-620-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: PA PP481626) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2016-12-13 |