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Organization

FAIRFAX MEDICAL FACILITIES, INC.

Active
Parent organization
FAIRFAX MEDICAL FACILITIES, INC.
Other names
Newkirk Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
FAIRFAX MEDICAL FACILITIES, INC.
Authorized official
TAMMY LEEPER (CEO)
(918) 642-3100
Entity
Organization

Contact information

Practice address
716 S HIGHWAY 77, A, NEWKIRK, OK 74647-7009
(580) 362-2555
(580) 362-2948
Mailing address
212 N MAIN ST, FAIRFAX, OK 74637-3023
(580) 362-2556
(580) 362-3165

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
9399
OK
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200071420L
OK
01
6-6170
OKLAHOMA STATE BOARD OF PHARMACY
OK
Enumeration date
01/31/2013
Last updated
04/20/2026
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