# FAIRHAVEN PHARMACY, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346926482
- **Authorized official:** BRIAN C MENESES (PHARMACY MANAGER)
- **Authorized official phone:** (508) 525-4455

## Contact information

- **Practice address:** 72 MAIN ST, FAIRHAVEN, MA 02719-3041
- **Practice address phone:** (508) 525-4455
- **Practice address fax:** (774) 206-1692
- **Mailing address:** 72 MAIN ST, FAIRHAVEN, MA 02719-3041
- **Mailing address phone:** (508) 525-4455
- **Mailing address fax:** (774) 206-1692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/23/2023
- **Last updated:** 06/23/2023