Provider Demographics
NPI:1346857455
Name:PARISH, SHATIMA (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:SHATIMA
Middle Name:
Last Name:PARISH
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 SNOWFIELD RD SE
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-7348
Mailing Address - Country:US
Mailing Address - Phone:910-547-2056
Mailing Address - Fax:
Practice Address - Street 1:117A VILLAGE RD NE
Practice Address - Street 2:
Practice Address - City:LELAND
Practice Address - State:NC
Practice Address - Zip Code:28451-7413
Practice Address - Country:US
Practice Address - Phone:910-371-6363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29916183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist