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NPI Code Detail

MEDICARE: JIM FARRAR

MEDICARE: JIM FARRAR
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
1183500000XPharmacist17746CO

General Provider Information

NPI Number : 1578863668
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIM FARRAR
Provider Business Mailing Address
First Line : 6220 E 14TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80220-2747
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6220 E 14TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80220-2747
Country : US
Telephone Number : 303-242-3535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2010
Last Update Date : 10/24/2010

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Directions to “ JIM FARRAR ” Practice Location

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