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NPI Code Detail

MEDICARE: VANESSA FARRAR

MEDICARE:   VANESSA  FARRAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist40567TX

General Provider Information

NPI Number : 1083943609
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA FARRAR
Provider Business Mailing Address
First Line : 2401 RANCH ROAD 620 S
Second Line :
City : LAKEWAY
State : TX
Zip : 78738-5603
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2401 RANCH ROAD 620 S
Second Line :
City : LAKEWAY
State : TX
Zip : 78738-5603
Country : US
Telephone Number : 512-263-7887
Fax Number : 512-263-8540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2009
Last Update Date : 02/22/2026

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Directions to “ VANESSA FARRAR ” Practice Location

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