| NPI | 1407907496 |
|---|---|
| Doing Business As | FAIRVIEW PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LARRY QUINTANA President 505-753-2209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM PH00001141) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2014-10-29 |