Provider Demographics
NPI:1295889889
Name:PARISH, TARA (PHARM D)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:
Last Name:PARISH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:TARA
Other - Middle Name:
Other - Last Name:NEWTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:131 TERRACE AVE
Mailing Address - Street 2:
Mailing Address - City:PASS CHRISTIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39571-3510
Mailing Address - Country:US
Mailing Address - Phone:901-490-4334
Mailing Address - Fax:
Practice Address - Street 1:131 TERRACE AVE
Practice Address - Street 2:
Practice Address - City:PASS CHRISTIAN
Practice Address - State:MS
Practice Address - Zip Code:39571-3510
Practice Address - Country:US
Practice Address - Phone:901-490-4334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ15638183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN33332OtherPHARMACIST
MST-010334OtherPHARMACIST
AZ15638OtherPHARMACIST LICENSE
LAPST.026001OtherPHARMACIST