Provider Demographics
NPI:1891015426
Name:FARRIOR, PAMELA S (RPH)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:S
Last Name:FARRIOR
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 1:1201 S BETHLEHEM PIKE
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-5804
Mailing Address - Country:US
Mailing Address - Phone:215-646-8351
Mailing Address - Fax:215-643-6921
Practice Address - Street 1:1201 S BETHLEHEM PIKE
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-5804
Practice Address - Country:US
Practice Address - Phone:215-646-8351
Practice Address - Fax:215-643-6921
Is Sole Proprietor?:No
Enumeration Date:2010-06-05
Last Update Date:2010-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP032300L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist