Organization
FAIRFIELD DRUG INC
Active
Other names
FAIRFIELD DRUG INC
Organization subpart
No
Provider details
NPI number
Authorized official
JILL TEX PHARMD (OWNER/PHARMACIST IN CHARGE)
(406) 467-2336
Entity
Organization
Contact information
Practice address
407 CENTRAL AVE, FAIRFIELD, MT 59436
(406) 467-2336
(406) 467-3363
Mailing address
PO BOX 247, FAIRFIELD, MT 59436-0247
(406) 467-2336
(406) 467-3363
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1149
MT
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1149
MT
3336L0003X
Long Term Care Pharmacy
1149
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2782919
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6214353
—
MT
Enumeration date
01/31/2007
Last updated
11/09/2017
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