Fairlawn Pharmacy Inc

LBN: Fairlawn Pharmacy Inc
Fairlawn Pharmacy Inc is an health care organization with primary practice located at 582 Smithfield Ave , Pawtucket RI 02860-1633. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Fairlawn Pharmacy Inc can be contacted via phone (401) 723-8070, or through Koosherian, Bedros via phone (401) 723-8070.

Contact Information

Primary practice address
582 Smithfield Ave Pawtucket RI 02860-1633
Phone: (401) 723-8070
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Koosherian, Bedros RPH
Phone: (401) 723-8070

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHA00067 Rhode Island

Profile Details

NPI number 1366578775
LBN Legal business name Fairlawn Pharmacy Inc
DBA Doing business as
Authorized official Koosherian, Bedros RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Sep 12th, 2007 - about 19 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 1366578775 NPPES
Other 4101286 OTHER ID NUMBER
MEDICAID FP00779 OTHER ID NUMBER
Other 4101286 OTHER ID NUMBER

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