Provider Demographics
NPI:1275589368
Name:PARREY, INC.
Entity Type:Organization
Organization Name:PARREY, INC.
Other - Org Name:MEDICINE SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARREY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:410-922-9466
Mailing Address - Street 1:8035A LIBERTY RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2966
Mailing Address - Country:US
Mailing Address - Phone:410-922-9466
Mailing Address - Fax:
Practice Address - Street 1:8035A LIBERTY RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21244-2966
Practice Address - Country:US
Practice Address - Phone:410-922-9466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0667500001332B00000X
MDP017093336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2118467OtherNCPDP #
MDBM3322144OtherDEA #
MDBM3322144OtherDEA #