Provider Demographics
NPI:1811406234
Name:FARROW, GEORGINA (PHARMD, BCACP, CPP)
Entity Type:Individual
Prefix:DR
First Name:GEORGINA
Middle Name:
Last Name:FARROW
Suffix:
Gender:F
Credentials:PHARMD, BCACP, CPP
Other - Prefix:DR
Other - First Name:GEORGINA
Other - Middle Name:
Other - Last Name:FARROW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BCACP, CPP
Mailing Address - Street 1:2112 BRYANT PARK DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-6090
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 HAWTHORNE LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2515
Practice Address - Country:US
Practice Address - Phone:704-316-4610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-28
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41493183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist