Most Relevant Information
Provider Data
| NPI Number: | 1003398488 |
| Provider Name: | ARIEL DAWN FERDOCK PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RP451924 |
Most Important Dates
| Enumeration Date: | 09/03/2018 |
| Last Updated: | 10/24/2023 |
Provider Practice Location
310 W MAIN ST
SPARTA
WI
54656
Practice Location Phone/Fax
| Phone: | 6087850940 |
| Fax: |
Provider Mailing Location
200 1ST ST SW
ROCHESTER
MN
559050001
Provider Mailing Phone/Fax
| Phone: | 6087850940 |
| Fax: |