Healthcare Provider Details

I. General information

NPI: 1699758359
Provider Name (Legal Business Name): CHRISTY JOAN FERRERIA PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2005
Last Update Date: 09/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2270 CLOVIS AVE
CLOVIS CA
93612-3915
US

IV. Provider business mailing address

1734 N PERRY AVE
CLOVIS CA
93619-7525
US

V. Phone/Fax

Practice location:
  • Phone: 559-291-3377
  • Fax:
Mailing address:
  • Phone: 559-325-0369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number55681
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: