Provider Demographics
NPI:1932791043
Name:FARBSTEIN, MARCUS (RPH)
Entity Type:Individual
Prefix:MR
First Name:MARCUS
Middle Name:
Last Name:FARBSTEIN
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 1:613 LANGSTON LN
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-2615
Mailing Address - Country:US
Mailing Address - Phone:703-662-1852
Mailing Address - Fax:
Practice Address - Street 1:613 LANGSTON LN
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-2615
Practice Address - Country:US
Practice Address - Phone:703-662-1852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09954183500000X
CA38538183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist