Fairway Drug, INC
NPI #1780760454 in Lynden, Washington
Provider Information
- NPI Number
- 1780760454
- Entity Type
- Organization
- Organization Name
- Fairway Drug, INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 27, 2006
- Last Updated
- Oct 17, 2019
Practice Location
- Address
- 1758 FRONT ST # 106
- City
- Lynden
- State
- Washington
- ZIP Code
- 98264-1261
- Phone
- (360) 354-1226
Authorized Official
- Name
- JERRY P. KOEHLER, RPH
- Title
- MANAGER
- Phone
- (360) 354-1226
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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