NPI | 1962418616 |
---|---|
Doing Business As | FAIRBROOK CLINIC PHARMACY |
Entity Type | Organization |
Authorized Contact | JOHN KESSEL Owner 820-327-4745 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 05735) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-08-01 |
Last Update Date | 2014-09-29 |