Provider Demographics
NPI:1972880441
Name:FERRER, SERINA LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SERINA
Middle Name:LYNN
Last Name:FERRER
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 1:3034 128TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-4395
Mailing Address - Country:US
Mailing Address - Phone:702-756-8144
Mailing Address - Fax:
Practice Address - Street 1:1820 N 45TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6803
Practice Address - Country:US
Practice Address - Phone:305-872-1371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-10
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS46386183500000X
WAPH60172317183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist