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NPI Code Detail

MEDICARE: CLARKE ALEXANDER FARNHAM

MEDICARE: CLARKE ALEXANDER FARNHAM
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
1183500000XPharmacist45198TN

General Provider Information

NPI Number : 1548939044
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARKE ALEXANDER FARNHAM
Provider Business Mailing Address
First Line : 7810 OAK RIDGE HWY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37931-2313
Country : US
Telephone Number : 865-690-5357
Fax Number :
Provider Business Practice Location Address
First Line : 7810 OAK RIDGE HWY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37931-2313
Country : US
Telephone Number : 865-690-5357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2021
Last Update Date : 09/08/2021

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Directions to “ CLARKE ALEXANDER FARNHAM ” Practice Location

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