Basic Information
Provider Information
NPI: 1952437378
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCFARLAND
FirstName: BRENT
MiddleName: P.
NamePrefix:  
NameSuffix: SR.
Credential: R.PH.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10245 LOTHBURY CIR
Address2:  
City: FISHERS
State: IN
PostalCode: 460378483
CountryCode: US
TelephoneNumber: 3177964176
FaxNumber: 3179273634
Practice Location
Address1: 1650 N COLLEGE AVE
Address2:  
City: INDIANAPOLIS
State: IN
PostalCode: 462021715
CountryCode: US
TelephoneNumber: 3179246351
FaxNumber: 3179243634
Other Information
ProviderEnumerationDate: 02/27/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X26017860AINY Pharmacy Service ProvidersPharmacist 

No ID Information.


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