MEDICARE: PAULA M FARINA 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	183500000X	Pharmacist	051.297534	IL

General Provider Information

NPI Number	:	1639577695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA M FARINA PHARMD

Provider Business Mailing Address
First Line	:	2559 W 95TH ST
Second Line	:
City	:	EVERGREEN PARK
State	:	IL
Zip	:	60805-2809
Country	:	US
Telephone Number	:	708-422-2056
Fax Number	:

Provider Business Practice Location Address
First Line	:	2559 W 95TH ST
Second Line	:
City	:	EVERGREEN PARK
State	:	IL
Zip	:	60805-2809
Country	:	US
Telephone Number	:	708-422-2056
Fax Number	:

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

Provider Enumeration Date	:	12/08/2014
Last Update Date	:	02/27/2016

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Directions to “ PAULA M FARINA PHARMD” Practice Location

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