Provider Demographics
NPI:1326057290
Name:WARD, CERESSA T (PHARMD)
Entity Type:Individual
Prefix:
First Name:CERESSA
Middle Name:T
Last Name:WARD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7305 NORTH MILITARY TRL
Mailing Address - Street 2:(119)
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6400
Mailing Address - Country:US
Mailing Address - Phone:561-422-6499
Mailing Address - Fax:561-422-7213
Practice Address - Street 1:7305 NORTH MILITARY TRL
Practice Address - Street 2:(119)
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6400
Practice Address - Country:US
Practice Address - Phone:561-422-6499
Practice Address - Fax:561-422-7213
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 35536183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist