MEDICARE: DR. NICHOLE STRANGE FARRER PHARM. D.

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
1	183500000X	Pharmacist	17117	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306179312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLE STRANGE FARRER PHARM. D.

Provider Business Mailing Address
First Line	:	8450 BELLHAVEN BLVD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-6103
Country	:	US
Telephone Number	:	704-392-1369
Fax Number	:	704-394-1390

Provider Business Practice Location Address
First Line	:	4920-4922 ALBEMARLE RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28205-6103
Country	:	US
Telephone Number	:	980-237-4049
Fax Number	:	980-237-2967

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2009
Last Update Date	:	12/18/2018

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