Provider Demographics
NPI:1871596536
Name:FERRARO, JOHN R (RPH)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:R
Last Name:FERRARO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3300 N MARION AVE
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:23860-1855
Mailing Address - Country:US
Mailing Address - Phone:804-458-0691
Mailing Address - Fax:804-458-7377
Practice Address - Street 1:2313 OAKLAWN BLVD
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-5032
Practice Address - Country:US
Practice Address - Phone:804-458-0691
Practice Address - Fax:804-458-7377
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0202001840183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist