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Organization
FAIRLEY'S RX INC
Active
Organization
FAIRLEY'S RX INC
Active
Other names
LBN Fairleys Inc, Fairley's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LEE PHARMD. (PHARMACIST IN CHARGE)
(425) 802-1891
Entity
Organization
Contact information
Practice address
7206 NE SANDY BLVD, PORTLAND, OR 97213
(503) 284-1159
(503) 281-1211
Mailing address
7206 NE SANDY BLVD, PORTLAND, OR 97213
(503) 284-1159
(503) 281-1211
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
RP0000356CS
OR
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277893
—
OR
Enumeration date
03/24/2006
Last updated
08/19/2021
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