Individual
MICHAEL ANTHONY FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
601 W NORTH ST, ENTERPRISE, OR 97828-1427
(541) 426-3535
Mailing address
601 W NORTH ST, ENTERPRISE, OR 97828-1427
(541) 426-3535
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
7578
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
7578
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500716764
—
OR
Enumeration date
11/16/2011
Last updated
07/21/2022
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