National Provider Identifier Database

FCI FAIRTON PHARMACY
Prison Health


Contact Information

FCI FAIRTON PHARMACY
655 FAIRTON MILLVILLE RD
FAIRTON, NJ08320-2000
Phone: 856-453-4061
Fax:
Website:
Specialty Taxonomy Code
* Prison Health 261QP2400X

* Indicates primary specialty

NPI Profile & details for FCI FAIRTON PHARMACY

NPI Number 1548546906
Legal business name
LBN
FCI FAIRTON PHARMACY
Authorized official LISA LEE - (CHIEF PHARMACIST)
Entity Organization
Organization subpart No
Enumeration date 10/31/2011
Last updated 10/31/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: BF2149993

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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