Healthcare Provider Details
I. General information
NPI: 1235112095
Provider Name (Legal Business Name): RICHARD FERRER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/25/2005
Last Update Date: 10/31/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
302 NE NORTHGATE WAY
SEATTLE WA
98125-6047
US
IV. Provider business mailing address
12006 31ST AVE NE UNIT F
SEATTLE WA
98125-5627
US
V. Phone/Fax
- Phone: 206-494-0898
- Fax:
- Phone: 206-910-6125
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183700000X |
| Taxonomy | Pharmacy Technician |
| License Number | VA00061470 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | PH60562356 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: