Individual
TREVOR FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 CARTER ST, VIDALIA, LA 71373-3305
(318) 336-5311
Mailing address
307 CARTER ST, VIDALIA, LA 71373-3305
(131) 833-6531
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
023837
LA
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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