Healthcare Provider Details

I. General information

NPI: 1225553233
Provider Name (Legal Business Name): KEVIN ANDREW FARROW PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2017
Last Update Date: 08/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 UNIVERSITY DR
HERSHEY PA
17033-2360
US

IV. Provider business mailing address

500 UNIVERSITY DRIVE P.O. BOX 850
HERSHEY PA
17033-0850
US

V. Phone/Fax

Practice location:
  • Phone: 610-500-0138
  • Fax:
Mailing address:
  • Phone: 610-500-0138
  • Fax: 717-531-5631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberRP450037
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: