Organization
FAIRFIELD PHARMACY INC
Active
Other names
wayne pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMOS EUGENE LEMASTER SR. PHARMACIST (PIC)
(304) 272-5122
Entity
Organization
Contact information
Practice address
701 HENDRICKS ST., WAYNE, WV 25570
(304) 272-5122
(304) 272-5168
Mailing address
PO BOX 338, WAYNE, WV 25570-0338
(304) 272-5122
(304) 272-5168
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
SP0550315
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142389000
—
WV
Enumeration date
11/01/2006
Last updated
08/22/2020
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