Individual
DR. KARRIEM FARRAKHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, MBA, MS
Contact information
Practice address
2 BENTLEY STATION CT, PARKTON, MD 21120-9533
(410) 299-1105
(443) 491-3394
Mailing address
PO BOX 513, PARKTON, MD 21120-0513
(410) 299-1105
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16563
MD
1835N1003X
Nutrition Support Pharmacist
16563
MD
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
16563
MD
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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