Individual
MRS. BRENDA MARY FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
9141 RIDGE RD, GIRARD, PA 16417-9645
(814) 774-8880
(814) 774-1169
Mailing address
9141 RIDGE RD, GIRARD, PA 16417-9645
(814) 774-8880
(814) 774-1169
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP041804L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP041804L
STATE LICENSE NUMBER
PA
Enumeration date
01/25/2008
Last updated
01/25/2008
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