| NPI | 1356335566 |
|---|---|
| Doing Business As | FAIRFIELD BAY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JENNY BOONE TREECE President, Pharmacist 501-884-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AR AR20041) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: AR AR20041) | |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2022-08-30 |