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Organization
FDC INC
Active
Organization
FDC INC
Active
Other names
FAIRFAX DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY MARTIN (PRESIDENT)
(334) 756-2305
Entity
Organization
Contact information
Practice address
89 TRAMMELL BLOCK, VALLEY, AL 36854-4903
(334) 756-2305
(334) 756-9142
Mailing address
89 TRAMMELL BLOCK, VALLEY, AL 36854-4903
(334) 756-2305
(334) 756-9142
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
103810
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000882
—
AL
01
—
1988646
PK
—
Enumeration date
10/02/2006
Last updated
02/20/2017
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