Individual
CHARLENE FAIRFAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
441 4TH ST NW STE 900, WASHINGTON, DC 20001-2714
(202) 442-9076
(202) 722-5685
Mailing address
9 EVARTS ST NE, WASHINGTON, DC 20002-1005
(202) 904-6560
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA2782
DC
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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