| Danielle R Fairbanks, | |
|
101 Industrial Park Drive, Hollister, MO 65672 | |
| (417) 336-6901 | |
| Not Available |
| Full Name | Danielle R Fairbanks |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 101 Industrial Park Drive, Hollister, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972006310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 22336 (Iowa) | Secondary |
| 183500000X | Pharmacist | 14591 (Nebraska) | Secondary |
| 183500000X | Pharmacist | 2019044157 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle R Fairbanks, 163 Osprey Lane, Blue Eye, MO 65611 Ph: (402) 995-9506 | Danielle R Fairbanks, 101 Industrial Park Drive, Hollister, MO 65672 Ph: (417) 336-6901 |
Mr. Wayne Vogel, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 101 Industrial Park Dr, Hollister, MO 65672 Phone: 417-336-6901 Fax: 417-336-6907 | |
Amie Mousseau, PHARM.D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 101 Industrial Park Dr, Hollister, MO 65672 Phone: 417-336-6901 | |
Dr. Victor Alexander Garcia, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 101 Industrial Park Dr, Hollister, MO 65672 Phone: 417-336-6901 |