Provider Demographics
NPI:1063791093
Name:FARRAJ, MEGAN BAYLIFF (PHARMD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:BAYLIFF
Last Name:FARRAJ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 BILTMORE CT
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-4005
Mailing Address - Country:US
Mailing Address - Phone:302-838-2928
Mailing Address - Fax:
Practice Address - Street 1:CHRISTIANA CARE HEALTH SERVICES
Practice Address - Street 2:4755 OGLETOWN-STANTON ROAD
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-0001
Practice Address - Country:US
Practice Address - Phone:302-733-6331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-00028301835P0018X
PARP042141L1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist