| NPI | 1740240589 |
|---|---|
| Former Legal Business Name | LBN FAIRLEYS INC |
| Entity Type | Organization |
| Authorized Contact | DANIEL LEE Pharmacist In Charge 425-802-1891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: OR RP0000356CS) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2021-08-19 |