Individual
MARY FARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1400 E IRELAND RD, SOUTH BEND, IN 46614-3452
(574) 231-8258
Mailing address
4514 S LEGACY RIDGE EST, WABASH, IN 46992-9080
(260) 571-8043
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026745A
IN
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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