MEDICARE: DR. KRISTLE ANN FARQUHARSON PHARMD

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	062927-I	NY

General Provider Information

NPI Number	:	1649761156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTLE ANN FARQUHARSON PHARMD

Provider Business Mailing Address
First Line	:	26 INNIS AVE
Second Line	:
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12601-3715
Country	:	US
Telephone Number	:	914-489-3169
Fax Number	:

Provider Business Practice Location Address
First Line	:	1575 ROUTE 9
Second Line	:
City	:	WAPPINGERS FALLS
State	:	NY
Zip	:	12590-2827
Country	:	US
Telephone Number	:	845-632-9026
Fax Number	:

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

Provider Enumeration Date	:	05/21/2018
Last Update Date	:	05/21/2018

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