Provider Demographics
NPI:1609121284
Name:PARENT, JOSIANE CAROLINE (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOSIANE
Middle Name:CAROLINE
Last Name:PARENT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5619 N GLEN RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248-4204
Mailing Address - Country:US
Mailing Address - Phone:859-620-6026
Mailing Address - Fax:
Practice Address - Street 1:3104 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41018-1827
Practice Address - Country:US
Practice Address - Phone:859-426-0342
Practice Address - Fax:859-426-0379
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-19
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY016114183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist