Provider Demographics
NPI:1578984290
Name:WOLFENBARKER, FAITH LEANN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:FAITH
Middle Name:LEANN
Last Name:WOLFENBARKER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 PARK AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:OH
Mailing Address - Zip Code:45638-1596
Mailing Address - Country:US
Mailing Address - Phone:740-237-4922
Mailing Address - Fax:
Practice Address - Street 1:912 PARK AVE STE 105
Practice Address - Street 2:
Practice Address - City:IRONTON
Practice Address - State:OH
Practice Address - Zip Code:45638-1596
Practice Address - Country:US
Practice Address - Phone:740-237-4922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-23
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH027591183500000X
FLPS47685183500000X
OH03136323183500000X
KY016984183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist