Provider Demographics
NPI:1922371145
Name:PARSONS, BETSY
Entity Type:Individual
Prefix:
First Name:BETSY
Middle Name:
Last Name:PARSONS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34960 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19970-4011
Mailing Address - Country:US
Mailing Address - Phone:302-537-3970
Mailing Address - Fax:
Practice Address - Street 1:34960 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:DE
Practice Address - Zip Code:19970-4011
Practice Address - Country:US
Practice Address - Phone:302-537-3970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-18
Last Update Date:2012-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0002021183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist