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NPI Code Detail

MEDICARE: KHAWLA FARAH PHARMD

MEDICARE: KHAWLA FARAH 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
11835C0205XCritical Care PharmacistPS64204FL

General Provider Information

NPI Number : 1881527190
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHAWLA FARAH PHARMD
Provider Business Mailing Address
First Line : 6301 ASTORIA AVE
Second Line :
City : FORT MYERS
State : FL
Zip : 33905-7906
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 636 DEL PRADO BLVD S
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-2668
Country : US
Telephone Number : 239-424-2298
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ KHAWLA FARAH PHARMD” Practice Location

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