| NPI | 1326114208 |
|---|---|
| Doing Business As | FAIR OAKS MEDICAL CENTER PHARMCY |
| Entity Type | Organization |
| Authorized Contact | DEANNE G PETERSEN Cheif Financial Officer 301-816-5760 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2021-05-26 |