# FAIRLEY'S RX INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LBN Fairleys Inc, Fairley's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740240589
- **Authorized official:** DANIEL LEE PHARMD. (PHARMACIST IN CHARGE)
- **Authorized official phone:** (425) 802-1891

## Contact information

- **Practice address:** 7206 NE SANDY BLVD, PORTLAND, OR 97213
- **Practice address phone:** (503) 284-1159
- **Practice address fax:** (503) 281-1211
- **Mailing address:** 7206 NE SANDY BLVD, PORTLAND, OR 97213
- **Mailing address phone:** (503) 284-1159
- **Mailing address fax:** (503) 281-1211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | RP0000356CS | OR | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/24/2006
- **Last updated:** 08/19/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 277893 | — | OR |