Provider Demographics
NPI:1962895516
Name:FERGUSON, NEUMARISHEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NEUMARISHEL
Middle Name:
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:NEUMARISHEL
Other - Middle Name:
Other - Last Name:INGRAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3206 15TH ST
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-4002
Mailing Address - Country:US
Mailing Address - Phone:205-349-1330
Mailing Address - Fax:
Practice Address - Street 1:3206 15TH ST
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-4002
Practice Address - Country:US
Practice Address - Phone:205-349-1330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17887183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist