Organization
FAIRFIELD MEMORIAL HOSPITAL
Active
Other names
HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KNIGHT (STAFF ACCOUNTANT)
(618) 847-8346
Entity
Organization
Contact information
Practice address
303 NW 11TH ST, FAIRFIELD, IL 62837-1203
(618) 847-8244
Mailing address
303 NW 11TH ST, FAIRFIELD, IL 62837-1203
(618) 847-8346
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
1479915
IL
3336L0003X
Long Term Care Pharmacy
1471476
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1471476
NSC
IL
01
—
1479915
NSC
IL
Enumeration date
01/05/2007
Last updated
02/25/2026
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