Provider Demographics
NPI:1649703679
Name:PARKER, MATTHEW (PHARMD)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:
Last Name:PARKER
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 1:1206 POINTE CENTRE DR STE 240
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-4670
Mailing Address - Country:US
Mailing Address - Phone:844-893-0012
Mailing Address - Fax:615-278-3355
Practice Address - Street 1:1206 POINTE CENTRE DR STE 240
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-4670
Practice Address - Country:US
Practice Address - Phone:844-893-0012
Practice Address - Fax:615-278-3355
Is Sole Proprietor?:No
Enumeration Date:2017-04-06
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL18391183500000X
TN10129183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist