| NPI | 1720196199 |
|---|---|
| Doing Business As | FAIRWAY DRUGS |
| Entity Type | Organization |
| Authorized Contact | YVONNE GALLAGHER Vice President 248-348-1570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301004965) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2020-01-10 |