Provider Demographics
NPI:1952995037
Name:PARSIAN, DAVOUD (RPH)
Entity Type:Individual
Prefix:MR
First Name:DAVOUD
Middle Name:
Last Name:PARSIAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2787 CORNFLOWER CT
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-5453
Mailing Address - Country:US
Mailing Address - Phone:267-632-5777
Mailing Address - Fax:215-225-2552
Practice Address - Street 1:2538 W ALLEGHENY AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19132-1338
Practice Address - Country:US
Practice Address - Phone:215-225-2550
Practice Address - Fax:215-225-2552
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP041482L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty