Provider Demographics
NPI:1265733265
Name:PARROTT, MATT (PHARMD)
Entity type:Individual
Prefix:MR
First Name:MATT
Middle Name:
Last Name:PARROTT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3532 172ND ST NE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-8758
Mailing Address - Country:US
Mailing Address - Phone:360-651-6194
Mailing Address - Fax:360-657-1835
Practice Address - Street 1:3532 172ND ST NE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-8758
Practice Address - Country:US
Practice Address - Phone:360-651-6194
Practice Address - Fax:360-657-1835
Is Sole Proprietor?:No
Enumeration Date:2010-11-06
Last Update Date:2010-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00064770183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist