Provider Demographics
NPI:1407097686
Name:FERREIRA, ABIGAIL (PHARMD RPH)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
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 1:134 PRINCE AVE STE B
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-6703
Mailing Address - Country:US
Mailing Address - Phone:360-933-4892
Mailing Address - Fax:360-933-1197
Practice Address - Street 1:134 PRINCE AVE STE B
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-6703
Practice Address - Country:US
Practice Address - Phone:360-933-4892
Practice Address - Fax:360-933-1197
Is Sole Proprietor?:No
Enumeration Date:2009-03-17
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60021574183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist