Provider Demographics
NPI:1962527069
Name:FERREE, BENJAMIN GEORGE PATRICK (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:GEORGE PATRICK
Last Name:FERREE
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 1:549 INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:LIMON
Mailing Address - State:CO
Mailing Address - Zip Code:80828-2203
Mailing Address - Country:US
Mailing Address - Phone:719-740-0821
Mailing Address - Fax:719-775-0624
Practice Address - Street 1:900 MAIN STREET
Practice Address - Street 2:
Practice Address - City:LIMON
Practice Address - State:CO
Practice Address - Zip Code:80828-0609
Practice Address - Country:US
Practice Address - Phone:719-775-2371
Practice Address - Fax:719-775-0624
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17353183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist