Provider Demographics
NPI:1164700423
Name:PARKER, DREW STEPHEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:DREW
Middle Name:STEPHEN
Last Name:PARKER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 W HENDERSON ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-7890
Mailing Address - Country:US
Mailing Address - Phone:828-652-7105
Mailing Address - Fax:828-652-3655
Practice Address - Street 1:625 W HENDERSON ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-7890
Practice Address - Country:US
Practice Address - Phone:828-652-7105
Practice Address - Fax:828-652-3655
Is Sole Proprietor?:No
Enumeration Date:2011-08-03
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21785183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist