Provider Demographics
NPI:1700512894
Name:PAR, TIAL CHIN (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:TIAL
Middle Name:CHIN
Last Name:PAR
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3117 BABETTE DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-7943
Mailing Address - Country:US
Mailing Address - Phone:317-748-5245
Mailing Address - Fax:317-885-3065
Practice Address - Street 1:150 MARLIN DR
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-1451
Practice Address - Country:US
Practice Address - Phone:317-885-3010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-29
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26029853A1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy