| NPI | 1689442956 |
|---|---|
| Other Name | FAIRMONT PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | BEATLE THIEN-PHUOC TRAN CEO/Pharm D 209-938-9556 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |