Fairview Pharmacy

LBN: Quintanas Fairview Pharmacy Inc
Fairview Pharmacy is an health care organization with primary practice located at 734 N Riverside Dr Ste A, Espanola NM 87532-2957. 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. Quintanas Fairview Pharmacy Inc can be contacted via phone (505) 753-2209, or through Quintana, Larry via phone (505) 753-2209.

Contact Information

Primary practice address
734 N Riverside Dr Ste A Espanola NM 87532-2957
Phone: (505) 753-2209
Fax: (505) 753-8408
Website:
Map and Directions
Authorized official contact:
Name: Quintana, Larry RPH
Phone: (505) 753-2209

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH00001141 New Mexico

Profile Details

NPI number 1407907496
LBN Legal business name Quintanas Fairview Pharmacy Inc
DBA Doing business as Fairview Pharmacy
Authorized official Quintana, Larry RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Oct 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407907496 NPPES
Other 2057691 PK
MEDICAID 55731 PK

Popular Providers