Provider Demographics
NPI:1124359427
Name:PARVINI, PARISA N (RPH)
Entity Type:Individual
Prefix:
First Name:PARISA
Middle Name:N
Last Name:PARVINI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6507 181ST ST SW
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-4213
Mailing Address - Country:US
Mailing Address - Phone:425-670-8542
Mailing Address - Fax:
Practice Address - Street 1:PAYLESS LONGTERM CARE PHARMACY
Practice Address - Street 2:16100 SW 72ND AVE
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97224
Practice Address - Country:US
Practice Address - Phone:800-330-3665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-26
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH000195321835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric