Organization
FAIRVIEW RX INC
Active
Other names
Fairview Rx
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN K HARRISON (OWNER)
(580) 654-1111
Entity
Organization
Contact information
Practice address
210 E STATE RD, FAIRVIEW, OK 73737-1326
(580) 227-2045
(580) 227-2046
Mailing address
210 E STATE RD, FAIRVIEW, OK 73737-1326
(580) 227-2045
(580) 227-2046
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
665355
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200235550A
—
OK
05
—
200235550B
—
OK
01
—
2118447
PK
—
Enumeration date
12/26/2008
Last updated
07/01/2025
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