FAIRMONT PHARMACY, LLC
Suppliers at Central Ave, Phoenix, AZ

License number
Arizona Y005270
Category
Suppliers
Type
Community/Retail Pharmacy
Owner
Name: GREG ROLLER
Title: PHARMACY MANAGER
Phone: (602) 319-1732
Address
Address
5068 N Central Ave, Phoenix, AZ 85012
National Provider ID: 1184941585
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about FAIRMONT PHARMACY, LLC at bizstanding.com

THE FAIRMONT PHARMACY, LLC

5068 N Central Ave, Phoenix, AZ 85012

Industry:
Whol Drugs/Sundries
Registration:
Dec 3, 2009
Phone:
(602) 275-5719 (Phone)
State ID:
L-1568200-6
Expiration:
PERPETUAL
Director Of Pharmacy, Mbrs:
Vincent Chiarelli (Manager), 5068 N Central Ave, Phoenix, AZ 85012 (Physical),Nathan Kaplan (Manager), 5068 N Central Ave, Phoenix, AZ 85012 (Physical),Nathan D Kaplan (Member), 5068 N Central Ave, Phoenix, AZ 85012 (Physical),...
Agent:
Mark D Chester,8777 N Gainey Ctr Dr #191, Scottsdale, AZ 85258 (Physical)

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