Fairfax Discount Pharmacy Inc

NPI 1104995059 - Pharmacy - 333600000X

NPI Details
NPI 1104995059
Enumeration Date 11/07/2006
Last Updated 05/27/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BORIS BORIS
Position MGR
Phone (323) 937-1111
Fax (323) 937-1617
Practice Location
7771 BEVERLY BLVD
LOS ANGELES CA, 90036-2151, US
Phone (323) 937-1111
Fax (323) 937-1617
Business Location
7771 BEVERLY BLVD
LOS ANGELES CA, 90036-2151, US
Phone (323) 937-1111
Fax (323) 937-1617
Toxanomy
Taxonomy Code 333600000X
License State
License Number
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According to our database, Fairfax Discount Pharmacy Inc NPI is 1104995059, taxonomy code is 333600000X Fairfax Discount Pharmacy Inc physically located at 7771 Beverly Blvd, Los Angeles CA, 90036-2151. NPI Number 1033115704 has the healthcare provider type.

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1104995059 NPI number is provided on an as is basis without warranty of any kind. 1104995059 is maintained by the National Plan & Provider Enumeration System. The contents of Fairfax Discount Pharmacy Inc are for informational purposes only.