Provider Demographics
NPI:1700480886
Name:SAINT-LOUIS, FARLEY (RPH)
Entity Type:Individual
Prefix:
First Name:FARLEY
Middle Name:
Last Name:SAINT-LOUIS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11251 SW 20TH ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-6637
Mailing Address - Country:US
Mailing Address - Phone:954-802-1872
Mailing Address - Fax:
Practice Address - Street 1:16001 MIRAMAR PKWY
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4563
Practice Address - Country:US
Practice Address - Phone:954-435-3935
Practice Address - Fax:954-435-1810
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS58266183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist