Provider Demographics
NPI:1558086934
Name:PARRISH, ALEXANDRIA LAINE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:LAINE
Last Name:PARRISH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ALEX
Other - Middle Name:LAINE
Other - Last Name:PARRISH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1 QUARTZ WAY
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-9843
Mailing Address - Country:US
Mailing Address - Phone:912-547-9248
Mailing Address - Fax:
Practice Address - Street 1:2324 US HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-3398
Practice Address - Country:US
Practice Address - Phone:912-756-2531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA033838183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist