Fairway Drug

NPI 1780760454 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1780760454
Enumeration Date 10/27/2006
Last Updated 08/01/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JERRY P JERRY
Position OWNER/PHARMACIST
Phone (360) 354-1226
Fax (360) 354-6561
Practice Location
1758 FRONT ST # 106
LYNDEN WA, 98264-1261, US
Phone (360) 354-1226
Fax (360) 354-6561
Business Location
1758 FRONT ST # 106
LYNDEN WA, 98264-1261, US
Phone (360) 354-1226
Fax (360) 354-6561
Toxanomy
Taxonomy Code 332B00000X
License State Washington
License Number PHAR.CF.00003781
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According to our database, Fairway Drug NPI is 1780760454, taxonomy code is 332B00000X and license number is PHAR.CF.00003781, license state is located at Washington. Fairway Drug physically located at 1758 Front St # 106, Lynden WA, 98264-1261. NPI Number 1033115704 has the healthcare provider type.

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1780760454 NPI number is provided on an as is basis without warranty of any kind. 1780760454 is maintained by the National Plan & Provider Enumeration System. The contents of Fairway Drug are for informational purposes only.