Provider Demographics
NPI:1508855073
Name:PARRY, KEITH F (RPH)
Entity Type:Individual
Prefix:
First Name:KEITH
Middle Name:F
Last Name:PARRY
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 1:7519 SHARON MERCER RD
Mailing Address - Street 2:
Mailing Address - City:MERCER
Mailing Address - State:PA
Mailing Address - Zip Code:16137-6511
Mailing Address - Country:US
Mailing Address - Phone:724-346-1028
Mailing Address - Fax:
Practice Address - Street 1:20111 ROUTE 19
Practice Address - Street 2:SUITE 23
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-6207
Practice Address - Country:US
Practice Address - Phone:724-776-3100
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP039413L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist