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NPI Code Detail

MEDICARE: MRS. SHARON ANN FARRELL RPH

MEDICARE: MRS. SHARON ANN FARRELL RPH
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
1183500000XPharmacist039588-1NY

General Provider Information

NPI Number : 1881917094
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHARON ANN FARRELL RPH
Provider Business Mailing Address
First Line : 385 LEXINGTON ST
Second Line :
City : BALLSTON SPA
State : NY
Zip : 12020-2328
Country : US
Telephone Number : 518-884-8021
Fax Number :
Provider Business Practice Location Address
First Line : 839 ROUTE 146
Second Line :
City : CLIFTON PARK
State : NY
Zip : 12065-3861
Country : US
Telephone Number : 518-373-0180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2010
Last Update Date : 03/03/2010

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