Individual
SCOTT MICHAEL FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPHARM
Contact information
Practice address
607 PARK AVE, BEAVER DAM, WI 53916-2201
(920) 356-0148
(920) 356-0401
Mailing address
607 PARK AVE, BEAVER DAM, WI 53916-2201
(920) 356-0148
(920) 346-0401
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14293-040
WI
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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