Provider Demographics
NPI:1558954073
Name:CARPENTER, PARRISH CHASE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PARRISH
Middle Name:CHASE
Last Name:CARPENTER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 FIELDSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-2489
Mailing Address - Country:US
Mailing Address - Phone:205-631-5638
Mailing Address - Fax:
Practice Address - Street 1:205 FIELDSTOWN RD
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-2489
Practice Address - Country:US
Practice Address - Phone:205-631-5638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-16
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20697183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist