Organization
FAIRLEY'S RX INC
Active
Other names
LBN Fairleys Inc, Fairley's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LEE PHARMD. (PHARMACIST IN CHARGE)
(425) 802-1891
Entity
Organization
Contact information
Practice address
7206 NE SANDY BLVD, PORTLAND, OR 97213
(503) 284-1159
(503) 281-1211
Mailing address
7206 NE SANDY BLVD, PORTLAND, OR 97213
(503) 284-1159
(503) 281-1211
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
RP0000356CS
OR
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277893
—
OR
Enumeration date
03/24/2006
Last updated
08/19/2021
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