Organization
FDC, INC
Active
Organization
FDC, INC
Active
Other names
Fairfax Drug Co.
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY E 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
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
259
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009943186
—
AL
Enumeration date
04/19/2007
Last updated
06/20/2012
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