Provider Demographics
NPI:1619957768
Name:FARAH, SAMIA H (RPH,PHARMD)
Entity Type:Individual
Prefix:
First Name:SAMIA
Middle Name:H
Last Name:FARAH
Suffix:
Gender:F
Credentials:RPH,PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 HYDE CT
Mailing Address - Street 2:
Mailing Address - City:STEPHENS CITY
Mailing Address - State:VA
Mailing Address - Zip Code:22655-3113
Mailing Address - Country:US
Mailing Address - Phone:540-869-0600
Mailing Address - Fax:540-869-1984
Practice Address - Street 1:106 HYDE CT
Practice Address - Street 2:
Practice Address - City:STEPHENS CITY
Practice Address - State:VA
Practice Address - Zip Code:22655-3113
Practice Address - Country:US
Practice Address - Phone:540-869-0600
Practice Address - Fax:540-869-1984
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY396811835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy