Provider Demographics
NPI:1952626152
Name:PARSONS, AMANDA FAYE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:FAYE
Last Name:PARSONS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12525 TEDDY DR
Mailing Address - Street 2:
Mailing Address - City:MC CALLA
Mailing Address - State:AL
Mailing Address - Zip Code:35111-1509
Mailing Address - Country:US
Mailing Address - Phone:205-477-3449
Mailing Address - Fax:
Practice Address - Street 1:28891 HIGHWAY 5
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:AL
Practice Address - Zip Code:35188-3614
Practice Address - Country:US
Practice Address - Phone:205-938-9221
Practice Address - Fax:205-938-9290
Is Sole Proprietor?:No
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16207183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist