Mary Farris is a Pharmacist in Poplar Bluff, Missouri. Mary Farris practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Mary Farris is 1104997915. The last update date is 2007-07-08.
Mary Farris's current location address is 1875 N Westwood Blvd, Poplar Bluff, Missouri. You can contact this provider via phone number 5737851461 and fax number 5737850831. The mailing address for Mary Farris is 1875 N Westwood Blvd, Poplar Bluff, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Farris |
|---|---|
| Address | 1875 N Westwood Blvd, Poplar Bluff, Missouri |
| Phone Number | 5737851461 |
| Fax Number | 5737850831 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1104997915 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1875 N Westwood Blvd |
|---|---|
| City | Poplar Bluff |
| State | Missouri (MO) |
| Post Code | 639012833 |
| Phone Number | 5737851461 |
| Fax Number | 5737850831 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 29078 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Post Comment/ Review Below
What is the unique identifier code issued to Mary Farris by the Centers for Medicare & Medicaid Services?
The Mary Farris has been assigned the NPI (National Provider Identifier) 1104997915. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mary Farris?
The Mary Farris is physically situated at 1875 N Westwood Blvd, in the city of Poplar Bluff, state of MO, with the postal code 639012833.
What is Mary Farris's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Farris's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
When did the Mary Farris receive its 1104997915?
The Mary Farris was issued its 1104997915 on 2006-11-13, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Mary Farris last refreshed?
The information related to the Mary Farris, including its address, specialty, and other relevant details, was last updated on 2007-07-08.