Healthcare Provider Details

I. General information

NPI: 1750503025
Provider Name (Legal Business Name): JOHN FERRARA R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 FAWN RIDGE NORTH
HARRISBURG PA
17110-9269
US

IV. Provider business mailing address

300 FAWN RIDGE NORTH
MECHANICSBURG PA
17110
US

V. Phone/Fax

Practice location:
  • Phone: 717-540-1874
  • Fax:
Mailing address:
  • Phone: 717-540-1874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberRP026487L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: