Individual
VICKIE FARNSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS PHARM
Contact information
Practice address
1100 CARSON AVE, DEPT OF PHARMACY, LA JUNTA, CO 81050-2751
(719) 383-6580
Mailing address
11757 KATY FWY, SUITE 350, HOUSTON, TX 77079-1733
(866) 739-7016
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14053
CO
183500000X
Pharmacist
30914
TX
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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