Provider Demographics
NPI:1043587512
Name:FERRARA, SYLVIA DUENAS (RPH)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:DUENAS
Last Name:FERRARA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 S CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80910-3026
Mailing Address - Country:US
Mailing Address - Phone:719-444-8569
Mailing Address - Fax:719-636-1939
Practice Address - Street 1:303 S CIRCLE DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-3026
Practice Address - Country:US
Practice Address - Phone:719-444-8569
Practice Address - Fax:719-636-1939
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK12438183500000X
CO15726183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist