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MR. PATRICK NEAL FAIRLEY RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1326011693

Individual Registrant:
MR. PATRICK NEAL FAIRLEY RPH
Gender: M

Location and contact information for practice:
2104 MASSEY AVENUE  NAVAL STATION MAYPORT, FL 32228 US
Tel: 904-270-4264  Fax: 907-270-4454

Contact information for business:
4225 MARSH LANDING BLVD APT 223 JACKSONVILLE BEACH, FL 32250-2472 US
Tel: 904-270-4264  Fax: 904-270-4454

Registration Information:
NPI: 1326011693
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
MSE08842

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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