Provider Demographics
NPI:1659771194
Name:FERRIS, RICK (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:
Last Name:FERRIS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 TOWER RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY VIEW
Mailing Address - State:TX
Mailing Address - Zip Code:76272-7668
Mailing Address - Country:US
Mailing Address - Phone:940-435-9655
Mailing Address - Fax:
Practice Address - Street 1:115 TOWER RD
Practice Address - Street 2:
Practice Address - City:VALLEY VIEW
Practice Address - State:TX
Practice Address - Zip Code:76272-7668
Practice Address - Country:US
Practice Address - Phone:940-435-9655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX346731835N1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N1003XPharmacy Service ProvidersPharmacistNutrition Support
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX34673OtherBOARD OF PHARMACY