Provider Demographics
NPI:1508025537
Name:FAHRMAN, DARLENE M (PD (RPH))
Entity Type:Individual
Prefix:MS
First Name:DARLENE
Middle Name:M
Last Name:FAHRMAN
Suffix:
Gender:F
Credentials:PD (RPH)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:798 SUNBURST HWY
Mailing Address - Street 2:RITE AID 3751
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-2508
Mailing Address - Country:US
Mailing Address - Phone:410-228-8600
Mailing Address - Fax:410-228-0079
Practice Address - Street 1:798 SUNBURST HWY
Practice Address - Street 2:RITE AID 3751
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-2508
Practice Address - Country:US
Practice Address - Phone:410-228-8600
Practice Address - Fax:410-228-0079
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD7491183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist