Provider Demographics
NPI:1396822490
Name:PARKER PROFESSIONAL PHARMACY, INC.
Entity Type:Organization
Organization Name:PARKER PROFESSIONAL PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACISTS - PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:TID
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:606-631-9999
Mailing Address - Street 1:8857 META HWY
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-4737
Mailing Address - Country:US
Mailing Address - Phone:606-631-9999
Mailing Address - Fax:606-631-9090
Practice Address - Street 1:8857 META HWY
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-4737
Practice Address - Country:US
Practice Address - Phone:606-631-9999
Practice Address - Fax:606-631-9090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY010265183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty