OrganizationActive
Fairlawn Pharmacy Inc
NPI 1366578775 · Community/Retail Pharmacy · Pawtucket, RI
Provider details
- NPI number
- 1366578775
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Bedros Koosherian, President(401) 723-8070
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Practice location
582 Smithfield Ave
Pawtucket, RI 02860-1633
Phone: (401) 723-8070
Approximate (ZIP-level) locationGet directions
Mailing address
582 Smithfield Ave
Pawtucket, RI 02860-1633
Registry dates
- Enumerated
- 2007-02-27
- Last updated
- 2007-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.