Provider Demographics
NPI:1710380449
Name:PARRISH, BARRY
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:
Last Name:PARRISH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 E CLOUD AVE
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-8824
Mailing Address - Country:US
Mailing Address - Phone:316-733-3725
Mailing Address - Fax:316-733-3729
Practice Address - Street 1:225 E CLOUD AVE
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-8824
Practice Address - Country:US
Practice Address - Phone:316-733-3725
Practice Address - Fax:316-733-3729
Is Sole Proprietor?:No
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS10874183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist