Provider Demographics
NPI:1730978685
Name:FARNHAM, AMELIA R (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMELIA
Middle Name:R
Last Name:FARNHAM
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 TOWER HILL RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:CT
Mailing Address - Zip Code:06413-1201
Mailing Address - Country:US
Mailing Address - Phone:508-207-0176
Mailing Address - Fax:
Practice Address - Street 1:24 TOWER HILL RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:CT
Practice Address - Zip Code:06413-1201
Practice Address - Country:US
Practice Address - Phone:508-207-0176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR687271835P1200X
TX723951835P1200X
CA905871835P1200X
FLPS685361835P1200X
SC605521835P1200X
MAPH2385731835P1200X
VA02022226451835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy