Provider Demographics
NPI:1700061215
Name:FERREE, JON (RPH)
Entity Type:Individual
Prefix:MR
First Name:JON
Middle Name:
Last Name:FERREE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9519 FOSTER WHEELER RD
Mailing Address - Street 2:
Mailing Address - City:DANSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14437-9259
Mailing Address - Country:US
Mailing Address - Phone:585-335-6760
Mailing Address - Fax:585-335-9137
Practice Address - Street 1:9519 FOSTER WHEELER RD
Practice Address - Street 2:
Practice Address - City:DANSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14437-9259
Practice Address - Country:US
Practice Address - Phone:585-335-6760
Practice Address - Fax:585-335-9137
Is Sole Proprietor?:No
Enumeration Date:2008-01-02
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034075183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist