Provider Demographics
NPI:1396715108
Name:FARHA, ARTHUR F (RPH)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:F
Last Name:FARHA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2417 S 113TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-3027
Mailing Address - Country:US
Mailing Address - Phone:402-333-1307
Mailing Address - Fax:402-501-0495
Practice Address - Street 1:1400 DOUGLAS STOP 0030
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68179-0030
Practice Address - Country:US
Practice Address - Phone:402-544-3740
Practice Address - Fax:402-501-0495
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8082183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist