Provider Demographics
NPI:1316229024
Name:PARMLEY, ANDREW ADAM (RPH)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:ADAM
Last Name:PARMLEY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 W SHERMAN BLVD
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49441-3533
Mailing Address - Country:US
Mailing Address - Phone:231-759-8587
Mailing Address - Fax:231-759-6108
Practice Address - Street 1:840 W SHERMAN BLVD
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49441-3533
Practice Address - Country:US
Practice Address - Phone:231-759-8587
Practice Address - Fax:231-759-6108
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302031407183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist