Provider Demographics
NPI:1912202771
Name:PAREY, LISA (RPH)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:PAREY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:AVALON
Mailing Address - State:PA
Mailing Address - Zip Code:15202-2453
Mailing Address - Country:US
Mailing Address - Phone:412-761-5625
Mailing Address - Fax:412-761-3376
Practice Address - Street 1:550 CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:AVALON
Practice Address - State:PA
Practice Address - Zip Code:15202-2453
Practice Address - Country:US
Practice Address - Phone:412-761-5625
Practice Address - Fax:412-761-3376
Is Sole Proprietor?:No
Enumeration Date:2011-01-25
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP037580L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist