MEDICARE: DR. JOSE ANGEL FERRAN PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	16283	NV

General Provider Information

NPI Number	:	1770792376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE ANGEL FERRAN PHARM.D.

Provider Business Mailing Address
First Line	:	607 SAM LEONE CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89138-7510
Country	:	US
Telephone Number	:	702-280-6744
Fax Number	:

Provider Business Practice Location Address
First Line	:	4975 E TROPICANA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-6728
Country	:	US
Telephone Number	:	702-547-1270
Fax Number	:	702-547-1319

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	07/08/2007

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