Fairbrook Clinic Pharmacy

LBN: L
Fairbrook Clinic Pharmacy is an health care organization with primary practice located at 1985 Startown Rd , Hickory NC 28602-8307. 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. L can be contacted via phone (828) 328-1169, or through Kessel, John via phone (820) 327-4745.

Contact Information

Primary practice address
1985 Startown Rd Hickory NC 28602-8307
Phone: (828) 328-1169
Fax: (828) 327-4756
Website:
Map and Directions
Authorized official contact:
Name: Kessel, John Doctor of Medicine (MD)
Phone: (820) 327-4745

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 05735 North Carolina

Profile Details

NPI number 1962418616
LBN Legal business name L
DBA Doing business as Fairbrook Clinic Pharmacy
Authorized official Kessel, John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2006
Last updated Sep 29th, 2014 - about 12 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 1962418616 NPPES
North Carolina MEDICAID 7703179
North Carolina MEDICAID 0185942
North Carolina Other 2068601

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