Provider Demographics
NPI:1376224576
Name:FERRARI, CASSIDY (PHARMD)
Entity Type:Individual
Prefix:
First Name:CASSIDY
Middle Name:
Last Name:FERRARI
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 1:526 LARKSPUR LN
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25403-5293
Mailing Address - Country:US
Mailing Address - Phone:304-268-8809
Mailing Address - Fax:
Practice Address - Street 1:10 RIVERTON COMMONS DR
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-6718
Practice Address - Country:US
Practice Address - Phone:540-635-7712
Practice Address - Fax:540-635-7976
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202221424183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist