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General NPI Number Information
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NPI Number | 1407806540
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Entity Type | Organization
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Legal Business Name | FARMER'S HOMECARE PHARMACY
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 279 N BROAD ST STE B
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City | WINDER
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State | GA
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Zip | 30680-2589
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Country | US
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Telephone | 770-867-8812
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Fax | 770-868-1179
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Provider Business Mailing Address
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Address Line | 279 N BROAD ST STE B
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City | WINDER
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State | GA
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Zip | 30680-2589
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Country | US
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Telephone | 770-867-8812
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Fax | 770-868-1179
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Authorized Official
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Title or Position | PRES.
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Name | MR. MICHAEL EDWARD FARMER
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Credential | R.PH., CDM
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Telephone | 770-867-8812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 0010303
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License Number State | GA
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