Provider Demographics
NPI:1982478640
Name:FARMER, ANDREW J (PHARMD / MBA)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:J
Last Name:FARMER
Suffix:
Gender:M
Credentials:PHARMD / MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12257 HOBBY HORSE DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-6333
Mailing Address - Country:US
Mailing Address - Phone:812-870-8448
Mailing Address - Fax:
Practice Address - Street 1:367 W 116TH ST
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-3287
Practice Address - Country:US
Practice Address - Phone:812-870-8448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26030537A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist