Provider Demographics
NPI:1821399619
Name:FERRIN, LYNN PATRICK (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:LYNN
Middle Name:PATRICK
Last Name:FERRIN
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:OR
Mailing Address - Zip Code:97424-2208
Mailing Address - Country:US
Mailing Address - Phone:541-942-7443
Mailing Address - Fax:541-942-7139
Practice Address - Street 1:1500 E MAIN ST
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:OR
Practice Address - Zip Code:97424-2208
Practice Address - Country:US
Practice Address - Phone:541-942-7443
Practice Address - Fax:541-942-7139
Is Sole Proprietor?:No
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5263183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist