Healthcare Provider Details

I. General information

NPI: 1548257843
Provider Name (Legal Business Name): FRANCINE ANN FARNSWORTH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/02/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1970 ROANOKE BLVD PHARMACY (119)
SALEM VA
24153-6404
US

IV. Provider business mailing address

1970 ROANOKE BLVD PHARMACY (119)
SALEM VA
24153-6404
US

V. Phone/Fax

Practice location:
  • Phone: 540-982-2463
  • Fax: 540-855-3478
Mailing address:
  • Phone: 540-982-2463
  • Fax: 540-855-3478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number0202204958
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: