Provider Demographics
NPI:1114267028
Name:FERRER, MARELVIS (PHARMD)
Entity type:Individual
Prefix:
First Name:MARELVIS
Middle Name:
Last Name:FERRER
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 AMES CROSSING RD # 200
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-2498
Mailing Address - Country:US
Mailing Address - Phone:855-457-0007
Mailing Address - Fax:
Practice Address - Street 1:2900 AMES CROSSING RD # 200
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55121-2498
Practice Address - Country:US
Practice Address - Phone:855-457-0007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-01
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0013626183500000X
FLPS55549183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist