Provider Demographics
NPI:1881693430
Name:PARKER PRESCRIPTION SERVICE, INC.
Entity type:Organization
Organization Name:PARKER PRESCRIPTION SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MIRAL
Authorized Official - Middle Name:H
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:D PH
Authorized Official - Phone:405-682-4423
Mailing Address - Street 1:4901 S PENN AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73119-4930
Mailing Address - Country:US
Mailing Address - Phone:405-682-4423
Mailing Address - Fax:
Practice Address - Street 1:4901 S PENN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73119-4930
Practice Address - Country:US
Practice Address - Phone:405-682-4423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1-20343336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy