Fairmount Pharmacy

NPI 1104931138 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1104931138
Enumeration Date 08/20/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRADLEY BRADLEY
Position PRESIDENT
Phone (765) 948-4111
Fax (765) 948-4226
Practice Location
124 N MAIN ST
FAIRMOUNT IN, 46928-1654, US
Phone (765) 948-4111
Fax (765) 948-4226
Business Location
610 E ROMIE LN
SALINAS CA, 93901-4209, US
Phone
Fax
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
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According to our database, Fairmount Pharmacy NPI is 1104931138, taxonomy code is 332B00000X Fairmount Pharmacy physically located at 124 N Main St, Fairmount IN, 46928-1654. NPI Number 1033115704 has the healthcare provider type.

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1104931138 NPI number is provided on an as is basis without warranty of any kind. 1104931138 is maintained by the National Plan & Provider Enumeration System. The contents of Fairmount Pharmacy are for informational purposes only.