Provider Demographics
NPI:1750882791
Name:FARCHMIN, MARGARETTE
Entity type:Individual
Prefix:
First Name:MARGARETTE
Middle Name:
Last Name:FARCHMIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARGARETTE
Other - Middle Name:
Other - Last Name:KADING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 153
Mailing Address - Street 2:
Mailing Address - City:GRAND MARAIS
Mailing Address - State:MN
Mailing Address - Zip Code:55604-0153
Mailing Address - Country:US
Mailing Address - Phone:218-790-4727
Mailing Address - Fax:
Practice Address - Street 1:513 5TH AVE W
Practice Address - Street 2:
Practice Address - City:GRAND MARAIS
Practice Address - State:MN
Practice Address - Zip Code:55604-3017
Practice Address - Country:US
Practice Address - Phone:218-387-2330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-26
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1210121835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care