Provider Demographics
NPI:1598760399
Name:FARINRE, MARILYN OLUFUNSHO (RPH, MBA)
Entity Type:Individual
Prefix:MISS
First Name:MARILYN
Middle Name:OLUFUNSHO
Last Name:FARINRE
Suffix:
Gender:F
Credentials:RPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17522 CHESTNUT TRL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-7594
Mailing Address - Country:US
Mailing Address - Phone:281-277-2715
Mailing Address - Fax:
Practice Address - Street 1:LYNDON BAINES GENERAL HOSPITAL PHARMACY
Practice Address - Street 2:5656 KELLEY STREET
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77026-1967
Practice Address - Country:US
Practice Address - Phone:713-566-5140
Practice Address - Fax:713-566-5151
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40431183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist