Provider Demographics
NPI:1467098053
Name:PARKER, VERONICA (CPHT)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2728 S MEMORIAL DRIVE
Mailing Address - Street 2:STE 30401
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5939
Mailing Address - Country:US
Mailing Address - Phone:910-467-9743
Mailing Address - Fax:
Practice Address - Street 1:2728 S MEMORIAL DRIVE
Practice Address - Street 2:STE 30401
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5939
Practice Address - Country:US
Practice Address - Phone:910-467-9743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
No172V00000XOther Service ProvidersCommunity Health Worker