Provider Demographics
NPI:1740580240
Name:FERRER, ROMUALDEZ VILLANUEVA (RPH)
Entity Type:Individual
Prefix:
First Name:ROMUALDEZ
Middle Name:VILLANUEVA
Last Name:FERRER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BLOCK 2D LOT 6 PHASE 2 ECOTREND VILLAS
Mailing Address - Street 2:FRUTO SANTOS AVE., ZAPOTE
Mailing Address - City:LAS PINAS CITY
Mailing Address - State:METRO MANILA
Mailing Address - Zip Code:1744
Mailing Address - Country:PH
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:613 S 6TH ST
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:WA
Practice Address - Zip Code:98944-2110
Practice Address - Country:US
Practice Address - Phone:509-839-2103
Practice Address - Fax:509-837-6606
Is Sole Proprietor?:No
Enumeration Date:2010-10-30
Last Update Date:2010-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60137600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist