Provider Demographics
NPI:1770792376
Name:FERRAN, JOSE ANGEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:ANGEL
Last Name:FERRAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 SAM LEONE CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138-7510
Mailing Address - Country:US
Mailing Address - Phone:702-280-6744
Mailing Address - Fax:
Practice Address - Street 1:4975 E TROPICANA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-6728
Practice Address - Country:US
Practice Address - Phone:702-547-1270
Practice Address - Fax:702-547-1319
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV16283183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist