| NPI | 1982797320 |
|---|---|
| Doing Business As | FAIRFAX HEALTH MART DRUG |
| Entity Type | Organization |
| Authorized Contact | DANIEL BARLOW Owner 918-642-3318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 164908) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2014-07-02 |