Organization
BENRX LLC
Active
Other names
Fairview Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BENHAM (OWNER)
(580) 227-2045
Entity
Organization
Contact information
Practice address
210 E STATE RD, FAIRVIEW, OK 73737-1326
(580) 227-2045
Mailing address
210 E STATE RD, FAIRVIEW, OK 73737-1326
(580) 227-2045
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201429400A
—
OK
Enumeration date
11/10/2025
Last updated
07/13/2026
Update your record
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