Provider Demographics
NPI:1790038578
Name:PARKER, MICHAEL A (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:PARKER
Suffix:
Gender:M
Credentials:PHARMD
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Mailing Address - Street 1:6501 LOISDALE CT
Mailing Address - Street 2:CLINICAL PHARMACY SERVICES- 5TH FLOOR
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-1826
Mailing Address - Country:US
Mailing Address - Phone:703-922-1161
Mailing Address - Fax:703-922-1639
Practice Address - Street 1:6501 LOISDALE CT
Practice Address - Street 2:CLINICAL PHARMACY CALL CENER - 5TH FLOOR
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-1826
Practice Address - Country:US
Practice Address - Phone:703-922-1590
Practice Address - Fax:703-922-1639
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2016-08-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA02022142611835P0018X
NY057291-1183500000X
NC22668183500000X
DCPH1000022981835P0018X
MD239711835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist