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NPI Code Detail

MEDICARE: MR. DAVID LEWIS FARMER RPH

MEDICARE:  MR. DAVID LEWIS FARMER  RPH
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
1183500000XPharmacist9433TN

General Provider Information

NPI Number : 1275639296
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID LEWIS FARMER RPH
Provider Business Mailing Address
First Line : 3812 S LAKE BLVD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37920-6189
Country : US
Telephone Number : 865-579-4042
Fax Number :
Provider Business Practice Location Address
First Line : 131 MONTGOMERY LN
Second Line :
City : MARYVILLE
State : TN
Zip : 37803-5649
Country : US
Telephone Number : 865-681-0520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 07/08/2007

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Directions to “ MR. DAVID LEWIS FARMER RPH” Practice Location

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