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NPI Code Detail

MEDICARE: MRS. FRANCESCA ELIZABETH FAHRENHORST PHARMD

MEDICARE: MRS. FRANCESCA ELIZABETH FAHRENHORST 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
1183500000XPharmacistRP00007673NM

General Provider Information

NPI Number : 1952680068
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. FRANCESCA ELIZABETH FAHRENHORST PHARMD
Provider Business Mailing Address
First Line : 4051 SOUTHERN BLVD SE
Second Line :
City : RIO RANCHO
State : NM
Zip : 87124-2069
Country : US
Telephone Number : 505-892-6690
Fax Number : 505-892-8244
Provider Business Practice Location Address
First Line : 4051 SOUTHERN BLVD SE
Second Line :
City : RIO RANCHO
State : NM
Zip : 87124-2069
Country : US
Telephone Number : 505-892-6690
Fax Number : 505-892-8244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2011
Last Update Date : 08/07/2011

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