Provider Demographics
NPI:1245830629
Name:PARRISH, AMY LYNN (RPH)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:PARRISH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:MOORE
Other - Last Name:PARRISH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:2008 LONGBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-1747
Mailing Address - Country:US
Mailing Address - Phone:469-500-5003
Mailing Address - Fax:
Practice Address - Street 1:220 N HIGHWAY 175
Practice Address - Street 2:
Practice Address - City:SEAGOVILLE
Practice Address - State:TX
Practice Address - Zip Code:75159-1841
Practice Address - Country:US
Practice Address - Phone:972-287-2914
Practice Address - Fax:972-287-4875
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54684183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist