| NPI | 1790889756 |
|---|---|
| Doing Business As | FAIRVIEW MESABA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN KRITZ CFO 281-362-6657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 2613288) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2008-04-11 |