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Contact Information

FAIRLAWN PHARMACY INC
582 SMITHFIELD AVE
PAWTUCKET, RI02860-1633
 Phone: 401-723-8070
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for FAIRLAWN PHARMACY INC

NPI # 1366578775
LBN Legal business name FAIRLAWN PHARMACY INC
Authorized official BEDROS KOOSHERIAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2007
Last updated 09/12/2007 - About 19 years ago
Identifiers
RI License # PHA00067
RI Medicaid FP00779
Other 4101286 OTHER ID NUMBER
Other 4101286 OTHER ID NUMBER-COMMERCIAL NUMBER
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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