Provider Demographics
NPI:1780269076
Name:MCFARLANE, HERFA CELENA (CPHT)
Entity type:Individual
Prefix:
First Name:HERFA
Middle Name:CELENA
Last Name:MCFARLANE
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7530 TIDEWATER DR
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23505-3717
Mailing Address - Country:US
Mailing Address - Phone:757-480-3051
Mailing Address - Fax:
Practice Address - Street 1:7530 TIDEWATER DR
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-3717
Practice Address - Country:US
Practice Address - Phone:757-480-3051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0230014365183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician