Provider Demographics
NPI:1902418148
Name:PARRIMAN PHARMACY LLC
Entity Type:Organization
Organization Name:PARRIMAN PHARMACY LLC
Other - Org Name:MILFORD PHARMACY AND WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RPH
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:PARRIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:513-831-8211
Mailing Address - Street 1:931 STATE ROUTE 28 UNIT 205
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-4942
Mailing Address - Country:US
Mailing Address - Phone:513-831-8211
Mailing Address - Fax:513-831-2419
Practice Address - Street 1:931 STATE ROUTE 28 UNIT 205
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-4942
Practice Address - Country:US
Practice Address - Phone:513-831-8211
Practice Address - Fax:513-831-2419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0418166Medicaid