Provider Demographics
NPI:1851613269
Name:PARRISH, NICOLE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:
Last Name:PARRISH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7243 LAKESHORE RD
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:NY
Mailing Address - Zip Code:13039-8701
Mailing Address - Country:US
Mailing Address - Phone:315-439-1608
Mailing Address - Fax:
Practice Address - Street 1:7243 LAKESHORE RD
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:NY
Practice Address - Zip Code:13039-8701
Practice Address - Country:US
Practice Address - Phone:315-439-1608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-26
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039554183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist