Provider Demographics
NPI:1881907327
Name:FERREIRA, MARK M (RPH)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:M
Last Name:FERREIRA
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 1:535 FAUNCE CORNER RD
Mailing Address - Street 2:
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-1242
Mailing Address - Country:US
Mailing Address - Phone:508-235-5696
Mailing Address - Fax:
Practice Address - Street 1:985 COUNTY ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:MA
Practice Address - Zip Code:02726-5005
Practice Address - Country:US
Practice Address - Phone:508-675-4943
Practice Address - Fax:508-675-4943
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19322183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist