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Contact Information

FAIRFIELD PHARMACY INC
701 HENDRICKS ST.
WAYNE, WV25570
 Phone: 304-272-5122
 Fax: 304-272-5168
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for FAIRFIELD PHARMACY INC

NPI Number 1144308768
LBN Legal business name FAIRFIELD PHARMACY INC
Authorized official AMOS LEMASTER - (PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
WV License # SP0550315
WV Medicaid 0142389000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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