Provider Demographics
NPI:1578671848
Name:PARRIS, MICHAEL W (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:W
Last Name:PARRIS
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 1:329 KINGSWAY DR
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-8043
Mailing Address - Country:US
Mailing Address - Phone:256-241-7880
Mailing Address - Fax:
Practice Address - Street 1:1801 QUINTARD AVE
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36201-3852
Practice Address - Country:US
Practice Address - Phone:256-403-0500
Practice Address - Fax:866-912-6586
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14216183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist