# FAIRVIEW PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fairview Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952704165
- **Authorized official:** DWIGHT MONTFORT RPH (PIC, AO)
- **Authorized official phone:** (201) 840-8049

## Contact information

- **Practice address:** 151 ANDERSON AVE, FAIRVIEW, NJ 07022-1754
- **Practice address phone:** (201) 840-8049
- **Practice address fax:** (201) 945-0816
- **Mailing address:** 151 ANDERSON AVE, FAIRVIEW, NJ 07022-1754
- **Mailing address phone:** (201) 840-8049
- **Mailing address fax:** (201) 945-0816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00736100 | NJ | Yes |

## Other

- **Enumeration date:** 10/01/2014
- **Last updated:** 02/16/2017