Organization
FAIRMEADOWS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ZURAWSKI RPH (OWNER/PRESIDENT)
(219) 836-8700
Entity
Organization
Contact information
Practice address
800 MACARTHUR BLVD, MUNSTER, IN 46321-2985
(219) 836-8700
(219) 836-7639
Mailing address
PO BOX 3395, MUNSTER, IN 46321-0395
(219) 836-8700
(219) 836-7639
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
60002227A
IN
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100298770A
—
IN
01
—
2025081
PK
—
Enumeration date
05/31/2005
Last updated
07/21/2022
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