Provider Demographics
NPI:1356941983
Name:PARNELL, TIMOTHY JOSHUA (PHARMD)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:JOSHUA
Last Name:PARNELL
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 1:2206 S 9TH ST
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:OH
Mailing Address - Zip Code:45638-2526
Mailing Address - Country:US
Mailing Address - Phone:740-646-3012
Mailing Address - Fax:740-894-0323
Practice Address - Street 1:432 PRIVATE DRIVE 288
Practice Address - Street 2:
Practice Address - City:SOUTH POINT
Practice Address - State:OH
Practice Address - Zip Code:45680-7900
Practice Address - Country:US
Practice Address - Phone:740-894-0702
Practice Address - Fax:740-894-0323
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-01
Last Update Date:2020-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03328693183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist