Provider Demographics
NPI:1689137002
Name:PARKER'S PHARM
Entity Type:Organization
Organization Name:PARKER'S PHARM
Other - Org Name:HIGHLAND HEIGHTS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:P
Authorized Official - Last Name:TAGG
Authorized Official - Suffix:
Authorized Official - Credentials:DPH
Authorized Official - Phone:901-545-5817
Mailing Address - Street 1:4726 POPLAR AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-4415
Mailing Address - Country:US
Mailing Address - Phone:901-545-5817
Mailing Address - Fax:
Practice Address - Street 1:4726 POPLAR AVE STE 3
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117-4415
Practice Address - Country:US
Practice Address - Phone:901-545-5817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes333600000XSuppliersPharmacy
No183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty