Provider Demographics
NPI:1225891591
Name:PARISI, BEN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:BEN
Middle Name:
Last Name:PARISI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 OLD COLEBROOK RD
Mailing Address - Street 2:
Mailing Address - City:COLEBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06021-4108
Mailing Address - Country:US
Mailing Address - Phone:860-309-3394
Mailing Address - Fax:
Practice Address - Street 1:121 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-4217
Practice Address - Country:US
Practice Address - Phone:860-582-2876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0016257183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist