Provider Demographics
NPI:1457806846
Name:PARRISH, KATIE M (PHARMD)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:M
Last Name:PARRISH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:PINCKNEY
Mailing Address - State:MI
Mailing Address - Zip Code:48169-9259
Mailing Address - Country:US
Mailing Address - Phone:810-308-8374
Mailing Address - Fax:
Practice Address - Street 1:418 PEARL ST
Practice Address - Street 2:
Practice Address - City:PINCKNEY
Practice Address - State:MI
Practice Address - Zip Code:48169-9259
Practice Address - Country:US
Practice Address - Phone:810-308-8374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-16
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302041459183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist