Individual
ADRIENNE B FAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1381 S PATRICK DR, PATRICK AIR FORCE BASE, FL 32925-3606
(321) 494-8991
Mailing address
1381 S PATRICK DR, PATRICK AIR FORCE BASE, FL 32925-3606
(321) 494-8991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS30576
FL
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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