Fairfax Pharmacy Inc.

LBN: Fairfax Pharmacy Inc.
Fairfax Pharmacy Inc. is an health care organization with primary practice located at 1275 Allendale Fairfax Hwy , Fairfax SC 29827-9124. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Fairfax Pharmacy Inc. can be contacted via phone (803) 632-2055, or through Davis, Carol B. via phone (803) 632-2055.

Contact Information

Primary practice address
1275 Allendale Fairfax Hwy Fairfax SC 29827-9124
Phone: (803) 632-2055
Fax: (803) 632-1708
Website:
Map and Directions
Authorized official contact:
Name: Davis, Carol B.
Phone: (803) 632-2055

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 50005433 South Carolina

Profile Details

NPI number 1790848976
LBN Legal business name Fairfax Pharmacy Inc.
DBA Doing business as
Authorized official Davis, Carol B.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790848976 NPPES
South Carolina MEDICAID DE1145

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