Provider Demographics
NPI:1760065742
Name:CRUZ, SARAH JANE FERRER (RPH)
Entity Type:Individual
Prefix:
First Name:SARAH JANE
Middle Name:FERRER
Last Name:CRUZ
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 1:6367 ALVARADO CT STE 109
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-4914
Mailing Address - Country:US
Mailing Address - Phone:619-287-7697
Mailing Address - Fax:619-287-7698
Practice Address - Street 1:6367 ALVARADO CT STE 109
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-4914
Practice Address - Country:US
Practice Address - Phone:619-287-7697
Practice Address - Fax:619-287-7698
Is Sole Proprietor?:No
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79231183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist