Provider Demographics
NPI:1275551467
Name:FARVER, DEBRA K (PHARMD)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:K
Last Name:FARVER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30948 434TH AVE
Mailing Address - Street 2:
Mailing Address - City:YANKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57078-6700
Mailing Address - Country:US
Mailing Address - Phone:605-668-8306
Mailing Address - Fax:
Practice Address - Street 1:30948 434TH AVE
Practice Address - Street 2:
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078-6700
Practice Address - Country:US
Practice Address - Phone:605-668-8306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD43341835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy