Organization
FAIRFIELD MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN DAWKINS (DIR OF PHARMACY OPS)
(618) 842-2611
Entity
Organization
Contact information
Practice address
303 NW 11TH ST, FAIRFIELD, IL 62837-1203
(618) 842-2611
(618) 847-8370
Mailing address
303 NW 11TH ST, FAIRFIELD, IL 62837-1203
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
IL
3336I0012X
Institutional Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1479915
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
Last updated
09/11/2025
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