| NPI | 1538253935 |
|---|---|
| Doing Business As | FAIRLANE PHARMACY SERVICES CORP |
| Entity Type | Organization |
| Authorized Contact | DANIEL KUS VP, Pharmacy Services 248-642-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301004670) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-12-01 |