Fairlawn Pharmacy INC
NPI #1366578775 in Pawtucket, Rhode Island
Provider Information
- NPI Number
- 1366578775
- Entity Type
- Organization
- Organization Name
- Fairlawn Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 27, 2007
- Last Updated
- Sep 12, 2007
Practice Location
- Address
- 582 SMITHFIELD AVE
- City
- Pawtucket
- State
- Rhode Island
- ZIP Code
- 02860-1633
- Phone
- (401) 723-8070
Authorized Official
- Name
- BEDROS KOOSHERIAN, RPH
- Title
- PRESIDENT
- Phone
- (401) 723-8070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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