Fairview Rx

LBN: Fairview Rx Inc
Fairview Rx is an health care organization with primary practice located at 210 E State Rd , Fairview OK 73737-1326. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Fairview Rx Inc can be contacted via phone (580) 227-2045, or through Bennett, Jerry via phone (580) 227-2045.

Contact Information

Primary practice address
210 E State Rd Fairview OK 73737-1326
Phone: (580) 227-2045
Fax: (580) 227-2046
Website:
Map and Directions
Authorized official contact:
Name: Bennett, Jerry DOCTOR OF PHARM
Phone: (580) 227-2045

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 665355 Oklahoma
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1275779159
LBN Legal business name Fairview Rx Inc
DBA Doing business as Fairview Rx
Authorized official Bennett, Jerry DOCTOR OF PHARM
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2008
Last updated Jul 7th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275779159 NPPES
Oklahoma MEDICAID 200235550A
Oklahoma Other 2118447
Oklahoma MEDICAID 200235550B

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