Individual
DAVID L FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2860 BAKER BLVD, EUGENE, OR 97403-1628
(541) 338-9977
Mailing address
2860 BAKER BLVD, EUGENE, OR 97403-1628
(541) 338-9977
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0006751
OR
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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