Lorelei Lucas Farr, PHARM.D.
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Petal, MS
NPI 1235407149 · NPPES record last updated Apr 21, 2015
Key facts
- NPI
- 1235407149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- E-010542 (MS)
- Practice address
- 206 Old Corinth Rd
Petal, MS 39465-2932 - Phone
- (601) 705-2896
- Fax
- (601) 583-2374
- NPI assigned
- Dec 6, 2011
- Sex
- Female
- 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-010542 | MS | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | E-010542 | MS | Yes |
Addresses
Primary practice location
206 Old Corinth Rd
Petal, MS 39465-2932
Mailing address
206 Old Corinth Rd
Petal, MS 39465-2932
Phone (601) 705-2896
Other providers in Petal, MS
- Encore Rehabilitation Inc
- April L Estill
- Anthony Lee Evans
- Heather Ezell
- Phillip Matthew Ezell
- Marcus Donald Finch
- Fit Jam LLC
- William Phillip Fortenberry Jr.
- Sara E Foster
- G G Morrison LLC
All providers in Petal, MS · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.