Provider Demographics
NPI:1689039547
Name:ALBERRY, FELICIA DENISE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:FELICIA
Middle Name:DENISE
Last Name:ALBERRY
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 1:825 CONNETQUOT AVE
Mailing Address - Street 2:
Mailing Address - City:ISLIP TERRACE
Mailing Address - State:NY
Mailing Address - Zip Code:11752-1423
Mailing Address - Country:US
Mailing Address - Phone:631-581-5496
Mailing Address - Fax:
Practice Address - Street 1:825 CONNETQUOT AVE
Practice Address - Street 2:
Practice Address - City:ISLIP TERRACE
Practice Address - State:NY
Practice Address - Zip Code:11752-1423
Practice Address - Country:US
Practice Address - Phone:631-581-5496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-20
Last Update Date:2015-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY059324183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist