Provider Demographics
NPI:1578687042
Name:DONOVAN, AMY FAITH RINGER (PHARMD, CDM)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:FAITH RINGER
Last Name:DONOVAN
Suffix:
Gender:F
Credentials:PHARMD, CDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:11 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-1025
Mailing Address - Country:US
Mailing Address - Phone:617-515-3994
Mailing Address - Fax:508-881-5874
Practice Address - Street 1:339 POND ST
Practice Address - Street 2:BROOKS PHARMACY #528
Practice Address - City:ASHLAND
Practice Address - State:MA
Practice Address - Zip Code:01721-2327
Practice Address - Country:US
Practice Address - Phone:508-881-7314
Practice Address - Fax:508-881-5874
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA25468183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist