Provider Demographics
NPI:1184764854
Name:FERER, DARREN S
Entity type:Individual
Prefix:
First Name:DARREN
Middle Name:S
Last Name:FERER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 ARROWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-4856
Mailing Address - Country:US
Mailing Address - Phone:716-662-6158
Mailing Address - Fax:
Practice Address - Street 1:726 EXCHANGE ST
Practice Address - Street 2:SUITE 310
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14210-1484
Practice Address - Country:US
Practice Address - Phone:716-859-8134
Practice Address - Fax:716-859-8654
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041987183500000X
FLPS-28305183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist