Healthcare Provider Details

I. General information

NPI: 1730329749
Provider Name (Legal Business Name): JANET FOSTER FARINA R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2009
Last Update Date: 03/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 COLCHESTER AVE 225 MP3 ACC OUTPATIENT PHARMACY
BURLINGTON VT
05401-1473
US

IV. Provider business mailing address

1807 SPEAR ST
SOUTH BURLINGTON VT
05403-7906
US

V. Phone/Fax

Practice location:
  • Phone: 802-847-2821
  • Fax: 802-847-5958
Mailing address:
  • Phone: 802-660-8316
  • Fax: 802-847-5958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number3008
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number3008
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: