Provider Demographics
NPI:1265837736
Name:PARKINSON, SHARON KAY (RPH)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:KAY
Last Name:PARKINSON
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 1:3309 SHADY COVE ST
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75707-1637
Mailing Address - Country:US
Mailing Address - Phone:903-491-4899
Mailing Address - Fax:
Practice Address - Street 1:3309 SHADY COVE ST
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75707-1637
Practice Address - Country:US
Practice Address - Phone:903-491-4899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28982183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist