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NPI Code Detail

MEDICARE: DR. LAUREN ASHLEIGH FARNSWORTH PHARM.D.

MEDICARE: DR. LAUREN ASHLEIGH FARNSWORTH PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRPH-0015456OR

General Provider Information

NPI Number : 1285180190
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREN ASHLEIGH FARNSWORTH PHARM.D.
Provider Business Mailing Address
First Line : 1430 NW GARDEN VALLEY BLVD
Second Line :
City : ROSEBURG
State : OR
Zip : 97471-1766
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1430 NW GARDEN VALLEY BLVD
Second Line :
City : ROSEBURG
State : OR
Zip : 97471-1766
Country : US
Telephone Number : 541-673-1750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2016
Last Update Date : 08/31/2016

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