NPI | 1841369790 |
---|---|
Doing Business As | FAIRMONT UNITED DRUG |
Entity Type | Organization |
Authorized Contact | GREG ROLLER Pres 602-275-5719 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y02936) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2008-02-19 |