Provider Demographics
NPI:1134501794
Name:F & B PHARMACY, INC.
Entity Type:Organization
Organization Name:F & B PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SARANG
Authorized Official - Middle Name:
Authorized Official - Last Name:FATERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-426-9500
Mailing Address - Street 1:1464 MADERA RD # I-2
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-3077
Mailing Address - Country:US
Mailing Address - Phone:805-426-9500
Mailing Address - Fax:
Practice Address - Street 1:1464 MADERA RD # I-2
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-3077
Practice Address - Country:US
Practice Address - Phone:805-426-9500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-19
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy