Provider Demographics
NPI:1649761156
Name:FARQUHARSON, KRISTLE ANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KRISTLE
Middle Name:ANN
Last Name:FARQUHARSON
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 1:26 INNIS AVE
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-3715
Mailing Address - Country:US
Mailing Address - Phone:914-489-3169
Mailing Address - Fax:
Practice Address - Street 1:1575 ROUTE 9
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-2827
Practice Address - Country:US
Practice Address - Phone:845-632-9026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-21
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062927-I183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist