Provider Demographics
NPI:1235112095
Name:FERRER, RICHARD (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:FERRER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12006 31ST AVE NE UNIT F
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-5627
Mailing Address - Country:US
Mailing Address - Phone:206-910-6125
Mailing Address - Fax:
Practice Address - Street 1:302 NE NORTHGATE WAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-6047
Practice Address - Country:US
Practice Address - Phone:206-494-0898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-25
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVA00061470183700000X
WAPH60562356183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No183700000XPharmacy Service ProvidersPharmacy Technician