MEDICARE: SAMIA H FARAH RPH,PHARMD

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	39681	NY

General Provider Information

NPI Number	:	1619957768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMIA H FARAH RPH,PHARMD

Provider Business Mailing Address
First Line	:	106 HYDE CT
Second Line	:
City	:	STEPHENS CITY
State	:	VA
Zip	:	22655-3113
Country	:	US
Telephone Number	:	540-869-0600
Fax Number	:	540-869-1984

Provider Business Practice Location Address
First Line	:	106 HYDE CT
Second Line	:
City	:	STEPHENS CITY
State	:	VA
Zip	:	22655-3113
Country	:	US
Telephone Number	:	540-869-0600
Fax Number	:	540-869-1984

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

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	07/08/2007

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