Organization
FAIRFAX PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL BETH DAVIS (PRESIDENT)
(803) 632-2055
Entity
Organization
Contact information
Practice address
1275 ALLENDALE FAIRFAX HWY, FAIRFAX, SC 29827-9124
(803) 632-2055
(803) 632-1708
Mailing address
PO BOX 366, 1275 ALLENDALE-FAIRFAX HWY, FAIRFAX, SC 29827-0366
(803) 632-2055
(803) 632-1708
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4215388
NABP OR NCPDP
SC
05
—
754336
—
SC
Enumeration date
05/11/2006
Last updated
08/22/2020
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