Provider Demographics
NPI:1851816946
Name:FILES, FACHIA PENN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:FACHIA
Middle Name:PENN
Last Name:FILES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WALMART PHARMACY
Mailing Address - Street 2:3100 HOUGH RD
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630
Mailing Address - Country:US
Mailing Address - Phone:256-767-4725
Mailing Address - Fax:256-767-5965
Practice Address - Street 1:WALMART PHARMACY
Practice Address - Street 2:3100 HOUGH RD
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630
Practice Address - Country:US
Practice Address - Phone:256-767-4725
Practice Address - Fax:256-767-5965
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-09
Last Update Date:2017-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12983183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist