Provider Demographics
NPI:1538166731
Name:FERRIS, DAVE JAMES (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DAVE
Middle Name:JAMES
Last Name:FERRIS
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 1:14827 STONE CREEK OVAL
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44149-5039
Mailing Address - Country:US
Mailing Address - Phone:440-238-6314
Mailing Address - Fax:440-816-8790
Practice Address - Street 1:18697 BAGLEY RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-3417
Practice Address - Country:US
Practice Address - Phone:440-816-6396
Practice Address - Fax:440-816-8790
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-01
Last Update Date:2008-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-12819183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist