MEDICARE: BRANDY LYNN FARMER PHARM D

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	03230298	OH
2	183500000X	Pharmacist	16382	AL

General Provider Information

NPI Number	:	1710272257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDY LYNN FARMER PHARM D

Provider Business Mailing Address
First Line	:	2800 SHILOH SPRINGS RD
Second Line	:	T-1130
City	:	TROTWOOD
State	:	OH
Zip	:	45426-2137
Country	:	US
Telephone Number	:	937-837-2118
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 SHILOH SPRINGS RD
Second Line	:	T-1130
City	:	TROTWOOD
State	:	OH
Zip	:	45426-2137
Country	:	US
Telephone Number	:	937-837-2118
Fax Number	:

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

Provider Enumeration Date	:	06/13/2011
Last Update Date	:	06/13/2011

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