Mariam Farah
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Malden, MO. Individual provider (NPI-1).
NPI number1942801436
StatusActive
Last updated in NPPESNov 3, 2020
Details
- NPI
- 1942801436
- Entity type
- Individual (NPI-1)
- Name
- Mariam Farah
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2020
- Certification date
- Nov 3, 2020
- Last updated
- Nov 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 2019035649 | MO | Yes |
Practice location
1007 N Douglass StMalden, MO 63863-1515
Phone 573-276-5735
Mailing address
42706 State Highway 25Malden, MO 63863-9483
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