Organization
FAIRLEY'S RX INC
Active
Other names
FAIRLEYS HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LEE PHARMD. (PHARMACIST IN CHARGE)
(425) 802-1891
Entity
Organization
Contact information
Practice address
7206 NE SANDY BLVD, SUITE B, PORTLAND, OR 97213
(503) 281-7500
(503) 281-1211
Mailing address
7206 NE SANDY BLVD, STE:B, PORTLAND, OR 97213-5741
(503) 281-7500
(503) 281-7505
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
IP0002182CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279296
—
OR
Enumeration date
07/08/2008
Last updated
08/04/2021
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