Provider Demographics
NPI:1558184473
Name:PARUSZEWSKI, KEVIN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:
Last Name:PARUSZEWSKI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17619 TERRAWREN LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7815
Mailing Address - Country:US
Mailing Address - Phone:713-894-4942
Mailing Address - Fax:
Practice Address - Street 1:485 S. ROBB ST.
Practice Address - Street 2:SUITE B
Practice Address - City:TRINITY
Practice Address - State:TX
Practice Address - Zip Code:75862-7586
Practice Address - Country:US
Practice Address - Phone:936-594-3593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX405711835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist