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NPI Code Detail

MEDICARE: LARRYN BAILEY FARRIS PHARMD, MPH, MS

MEDICARE: LARRYN BAILEY FARRIS PHARMD, MPH, MS
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
1183500000XPharmacistPS61884FL

General Provider Information

NPI Number : 1518551142
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARRYN BAILEY FARRIS PHARMD, MPH, MS
Provider Business Mailing Address
First Line : 4311 NW 21ST ST
Second Line :
City : LAUDERHILL
State : FL
Zip : 33313-3642
Country : US
Telephone Number : 954-913-7092
Fax Number :
Provider Business Practice Location Address
First Line : 19501 NW 27TH AVE
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33056-2521
Country : US
Telephone Number : 305-622-6668
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2021
Last Update Date : 02/24/2021

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