MEDICARE: MR. NEAL ROBERT FARBER RPH

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
1	1835P1200X	Pharmacotherapy Pharmacist	33052	CA

General Provider Information

NPI Number	:	1518007210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NEAL ROBERT FARBER RPH

Provider Business Mailing Address
First Line	:	5158 HUMBOLT AVE
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92407-2470
Country	:	US
Telephone Number	:	909-887-0125
Fax Number	:

Provider Business Practice Location Address
First Line	:	5500 UNIVERSITY PKWY
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92407-2318
Country	:	US
Telephone Number	:	909-537-3273
Fax Number	:	909-537-7027

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	07/08/2007

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