Provider Demographics
NPI:1699182485
Name:PARRIGON, PHILIP (RPH)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:
Last Name:PARRIGON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13351 MISSION RD
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66209-1753
Mailing Address - Country:US
Mailing Address - Phone:913-469-9315
Mailing Address - Fax:913-469-1971
Practice Address - Street 1:13351 MISSION RD
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66209-1753
Practice Address - Country:US
Practice Address - Phone:913-469-9315
Practice Address - Fax:913-469-1971
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-14
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-12527183500000X
MO044508183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist