Healthcare Provider Details

I. General information

NPI: 1235143462
Provider Name (Legal Business Name): DAVID L FARBER PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N 9TH ST
BISMARCK ND
58501-4530
US

IV. Provider business mailing address

836 SAN ANGELO DR
BISMARCK ND
58504-7433
US

V. Phone/Fax

Practice location:
  • Phone: 701-530-6050
  • Fax: 701-530-6417
Mailing address:
  • Phone: 701-250-1198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number4797
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: