Organization
FAIRMEADOWS PHARMACY
Active
Organization
FAIRMEADOWS PHARMACY
Active
Parent organization
FAIRMEADOWS PHARMACY, INC.
Other names
FAIRMEADOWS PHARMACY/HME
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAIRMEADOWS PHARMACY, INC.
Authorized official
MR. DANIEL WALTER ZURAWSKI R.PH. (PRESIDENT)
(219) 836-8700
Entity
Organization
Contact information
Practice address
800 MACARTHUR BLVD STE 29, MUNSTER, IN 46321-2917
(219) 836-8700
(219) 836-7639
Mailing address
800 MACARTHUR BLVD, STE 29, MUNSTER, IN 46321-2917
(219) 836-8700
(219) 836-7639
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
60002227A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100298770A
—
IN
01
—
1515038
NCPDP
IN
Enumeration date
06/02/2009
Last updated
09/02/2016
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