Provider Demographics
NPI:1790856094
Name:FARLEY, BROOKE ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BROOKE
Middle Name:ELIZABETH
Last Name:FARLEY
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Gender:F
Credentials:PHARMD
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Mailing Address - Street 1:4444 W PINE BLVD
Mailing Address - Street 2:APT 113
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-2356
Mailing Address - Country:US
Mailing Address - Phone:314-605-5553
Mailing Address - Fax:314-251-8889
Practice Address - Street 1:12680 OLIVE BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6322
Practice Address - Country:US
Practice Address - Phone:314-251-8963
Practice Address - Fax:314-251-8889
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO20040032961835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy