Provider Demographics
NPI:1972662021
Name:PARRISH, RICK C (RPH)
Entity Type:Individual
Prefix:MR
First Name:RICK
Middle Name:C
Last Name:PARRISH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 WAKEFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:KENDALLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46755-2604
Mailing Address - Country:US
Mailing Address - Phone:260-347-1068
Mailing Address - Fax:
Practice Address - Street 1:318 W NORTH ST
Practice Address - Street 2:
Practice Address - City:KENDALLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46755-1004
Practice Address - Country:US
Practice Address - Phone:260-347-0660
Practice Address - Fax:260-347-3638
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26013855A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist