| NPI | 1417306200 |
|---|---|
| Doing Business As | PROFESSIONAL PHARMACY FAIRVIEW |
| Entity Type | Organization |
| Authorized Contact | DENISE T. LE President/CEO/PIC 714-881-0012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY54449) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2023-02-20 |