Provider Demographics
NPI:1699592378
Name:FARRAR, NEVA MARIE (DOCTOR OF PHARMACY)
Entity type:Individual
Prefix:DR
First Name:NEVA
Middle Name:MARIE
Last Name:FARRAR
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
Other - Prefix:DR
Other - First Name:NEVA
Other - Middle Name:M
Other - Last Name:FARRELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DOCTOR OF PHARMACY
Mailing Address - Street 1:3420 NE 102ND TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64155-7827
Mailing Address - Country:US
Mailing Address - Phone:816-547-5848
Mailing Address - Fax:
Practice Address - Street 1:1901 W KANSAS ST
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-2060
Practice Address - Country:US
Practice Address - Phone:816-781-0035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007022154183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist