| NPI | 1750482980 |
|---|---|
| Doing Business As | FAIRVIEW PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAYANT K THAKER COO 212-567-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: NY 024844) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 024844) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 024844) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NY 024844) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NY 024844) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2015-10-02 |