Organization
FCI FAIRTON PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA LEE (CHIEF PHARMACIST)
(856) 453-4061
Entity
Organization
Contact information
Practice address
655 FAIRTON MILLVILLE RD, FAIRTON, NJ 08320-2000
(856) 453-4061
Mailing address
655 FAIRTON MILLVILLE RD, FAIRTON, NJ 08320-2000
(856) 453-4061
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
BF2149993
NJ
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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