Individual
MRS. AMBER LORRAINE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
4765 COMMERCIAL DR, NEW HARTFORD, NY 13413-6211
(315) 736-6822
Mailing address
4765 COMMERCIAL DR, NEW HARTFORD, NY 13413-6211
(315) 736-6822
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
049206
NY
183500000X
Pharmacist
28RI03075600
NJ
183500000X
Pharmacist
RP440247
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049206
NY STATE PHARMACY LICENSE
NY
01
—
28RI03075600
NJ PHARMACY LICENSE
NJ
01
—
RP440247
PA PHARMACY LICENSE
PA
Enumeration date
12/27/2007
Last updated
01/26/2009
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