Organization
FAIRMONT PHARMACY LLC
Active
Organization
FAIRMONT PHARMACY LLC
Active
Other names
FAIRMONT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALEXANDER BARNET PHARMD (OWNER)
(626) 793-1188
Entity
Organization
Contact information
Practice address
50 BELLEFONTAINE ST, STE 103, PASADENA, CA 91105-3132
(626) 793-1188
(626) 793-8414
Mailing address
50 BELLEFONTAINE ST, STE 103, PASADENA, CA 91105-3132
(626) 793-1188
(626) 793-8414
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
PHY32744
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2116041
PK
—
05
—
PHA327440
—
CA
Enumeration date
07/01/2006
Last updated
07/07/2022
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