| NPI | 1548816176 |
|---|---|
| Doing Business As | OIC PHARMACY - FAIRVIEW |
| Entity Type | Organization |
| Authorized Contact | SHIRLEY MONK-JONES Billing Manager 252-212-3486 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2021-11-02 |