Organization
MORDON LLC
Active
Other names
Fairmont Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD WAYNE ROBINSON JR. (MANAGING OFFICER)
(832) 670-2616
Entity
Organization
Contact information
Practice address
10407 W FAIRMONT PKWY STE C, LA PORTE, TX 77571-6018
(281) 941-4976
(281) 941-4871
Mailing address
10407 W FAIRMONT PKWY STE C, LA PORTE, TX 77571-6018
(281) 941-4976
(281) 941-4871
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
11/01/2021
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