# FAIRLEY'S RX INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FAIRLEYS HEALTHCARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265695456
- **Authorized official:** DANIEL LEE PHARMD. (PHARMACIST IN CHARGE)
- **Authorized official phone:** (425) 802-1891

## Contact information

- **Practice address:** 7206 NE SANDY BLVD, SUITE B, PORTLAND, OR 97213
- **Practice address phone:** (503) 281-7500
- **Practice address fax:** (503) 281-1211
- **Mailing address:** 7206 NE SANDY BLVD, STE:B, PORTLAND, OR 97213-5741
- **Mailing address phone:** (503) 281-7500
- **Mailing address fax:** (503) 281-7505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | IP0002182CS | OR | Yes |

## Other

- **Enumeration date:** 07/08/2008
- **Last updated:** 08/04/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 279296 | — | OR |