Provider Demographics
NPI:1952464588
Name:PARSONS PHARMACY INC
Entity Type:Organization
Organization Name:PARSONS PHARMACY INC
Other - Org Name:PARSONS PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-359-4066
Mailing Address - Street 1:117 W COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37091-3343
Mailing Address - Country:US
Mailing Address - Phone:931-359-4066
Mailing Address - Fax:
Practice Address - Street 1:117 W COMMERCE ST
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:TN
Practice Address - Zip Code:37091-3343
Practice Address - Country:US
Practice Address - Phone:931-359-4066
Practice Address - Fax:931-359-7703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TN00000006213336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN9440267Medicaid
2095728OtherPK
1183680001Medicare NSC
4408363OtherOTHER ID NUMBER-COMMERCIAL NUMBER