Alan P Farkas, R.PH.

Individual provider Active NPI Pharmacist · West Lafayette Bra, IN

NPI 1053456483 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1053456483
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
26017242 (IN)
Practice address
575 Stadium Mall Dr
West Lafayette Bra, IN 47907-2091
Phone
(765) 494-1374
Fax
(765) 496-6094
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
26017242INMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26017242 IN Yes

Addresses

Primary practice location

575 Stadium Mall Dr
West Lafayette Bra, IN 47907-2091

Mailing address

4624 N 140 W
West Lafayette Bra, IN 47906-9748
Phone (765) 463-2858

Other providers in West Lafayette Bra, IN

All providers in West Lafayette Bra, IN · Pharmacist in Indiana

Sources for this page

Verify at the official NPI Registry.