Provider Demographics
NPI:1194037291
Name:FERREIRA, JACQUELINE DIANE (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:DIANE
Last Name:FERREIRA
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 WILBUR AVE
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02777-2147
Mailing Address - Country:US
Mailing Address - Phone:508-678-9066
Mailing Address - Fax:508-677-2931
Practice Address - Street 1:510 WILBUR AVE
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:MA
Practice Address - Zip Code:02777-2147
Practice Address - Country:US
Practice Address - Phone:508-676-3370
Practice Address - Fax:508-675-4943
Is Sole Proprietor?:No
Enumeration Date:2010-07-06
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA27712183500000X
RIRPH04403183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist