Individual
MRS. DIANE FARKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1415 SALEM ST, SUITE B9, LAFAYETTE, IN 47904-4100
(765) 423-6358
(765) 423-6640
Mailing address
4624 N 140 W, WEST LAFAYETTE BRA, IN 47906-9748
(765) 463-2858
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014506A
IN
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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