Provider Demographics
NPI:1679049795
Name:MCFARLANE, GREGORY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:
Last Name:MCFARLANE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 W MARKET ST
Mailing Address - Street 2:BOX 905
Mailing Address - City:WILKES-BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18707
Mailing Address - Country:US
Mailing Address - Phone:518-860-3247
Mailing Address - Fax:
Practice Address - Street 1:2 KIRBY AVE
Practice Address - Street 2:
Practice Address - City:MOUNTAIN TOP
Practice Address - State:PA
Practice Address - Zip Code:18707-1213
Practice Address - Country:US
Practice Address - Phone:570-403-1132
Practice Address - Fax:570-403-0403
Is Sole Proprietor?:No
Enumeration Date:2018-10-16
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP452886183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist