Provider Demographics
NPI:1174662639
Name:PARRISH, PATRICIA L (RPH)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:L
Last Name:PARRISH
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 1:209 FIORE LN
Mailing Address - Street 2:
Mailing Address - City:HOLLIDAYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16648-9673
Mailing Address - Country:US
Mailing Address - Phone:814-693-6878
Mailing Address - Fax:814-693-2770
Practice Address - Street 1:1328 THIRD AVE
Practice Address - Street 2:
Practice Address - City:DUNCANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16635
Practice Address - Country:US
Practice Address - Phone:814-695-8065
Practice Address - Fax:814-693-2770
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP041789L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist