Individual
MRS. BETH ANN FAIRBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 N EWING ST, LANCASTER, OH 43130-3372
(740) 654-1019
Mailing address
401 N EWING ST, LANCASTER, OH 43130-3372
(740) 654-1019
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03319979
OH
183500000X
Pharmacist
Primary
RP0009151
WV
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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