Provider Demographics
NPI:1467737270
Name:PARKER, ALAN WILLIAM (RPH)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:WILLIAM
Last Name:PARKER
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 1:385 NORTHLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:OH
Mailing Address - Zip Code:45246
Mailing Address - Country:US
Mailing Address - Phone:513-825-6446
Mailing Address - Fax:513-825-9654
Practice Address - Street 1:385 NORTHLAND BLVD
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:OH
Practice Address - Zip Code:45246-3272
Practice Address - Country:US
Practice Address - Phone:513-825-6446
Practice Address - Fax:513-825-9654
Is Sole Proprietor?:No
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03219495183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist