Organization
FAIR OAKS PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHHITU N PATEL RPH (PRESIDENT)
(805) 489-4243
Entity
Organization
Contact information
Practice address
1051 E GRAND AVE, ARROYO GRANDE, CA 93420-2504
(805) 489-4243
(805) 489-4116
Mailing address
1051 E GRAND AVE, ARROYO GRANDE, CA 93420-2504
(805) 489-4243
(805) 489-4116
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY47130
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA471300
—
CA
Enumeration date
02/09/2007
Last updated
03/07/2023
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