Fairmount Pharmacy in Fairmount - Pharmacy

Fairmount Pharmacy - NPI 1104931138

Fairmount Pharmacy is a Pharmacy in Fairmount, Indiana. Fairmount Pharmacy practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Fairmount Pharmacy is 1104931138. The last update date is 2020-08-22.

Fairmount Pharmacy's current location address is 124 N Main St, Fairmount, Indiana. You can contact this provider via phone number 7659484111 and fax number 7659484226. The mailing address for Fairmount Pharmacy is 124 N Main St, Fairmount, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Fairmount Pharmacy
Address 124 N Main St, Fairmount, Indiana
Phone Number 7659484111
Fax Number 7659484226
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Crump Bradley
Telephone Number 8317580976

NPI Number Detail

NPI Number 1104931138
Provider Enumeration Date 2006-08-20
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 124 N Main St
City Fairmount
State Indiana (IN)
Post Code 469281654
Phone Number 7659484111
Fax Number 7659484226

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No 60005862A
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1505760 OTHER ID NUMBER-COMMERCIAL NUM

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FAQs about Fairmount Pharmacy

What is the unique 10-digit identifier code assigned to Fairmount Pharmacy by the Centers for Medicare & Medicaid Services?

The Fairmount Pharmacy has been issued the NPI (National Provider Identifier) 1104931138 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Fairmount Pharmacy?

The Fairmount Pharmacy is physically situated at 124 N Main St, in the city of Fairmount, state of IN, with the postal code 469281654.

What is Fairmount Pharmacy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Fairmount Pharmacy is Pharmacy, and the taxonomy code that categorizes this field of expertise is 333600000X.

On what date did the Fairmount Pharmacy receive the assignment of its 1104931138 from the Centers for Medicare & Medicaid Services?

The Fairmount Pharmacy was issued its 1104931138 by the Centers for Medicare & Medicaid Services on 2006-08-20.

When was the information regarding Fairmount Pharmacy most recently updated?

The details pertaining to the Fairmount Pharmacy, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.

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