Provider Demographics
NPI:1437587045
Name:FERRY, RITA MARIE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:RITA
Middle Name:MARIE
Last Name:FERRY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:RITA
Other - Middle Name:MARIE
Other - Last Name:SUDOL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:2225 12TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-3188
Mailing Address - Country:US
Mailing Address - Phone:828-256-3121
Mailing Address - Fax:828-256-2793
Practice Address - Street 1:2225 12TH AVE NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-3188
Practice Address - Country:US
Practice Address - Phone:828-256-3121
Practice Address - Fax:828-256-2793
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302023663183500000X
NC11909183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist