Provider Demographics
NPI: | 1376545095 |
---|---|
Name: | PARRISH, RICHARD HENRY II (RPH, PHD, BCPS) |
Entity type: | Individual |
Prefix: | DR |
First Name: | RICHARD |
Middle Name: | HENRY |
Last Name: | PARRISH |
Suffix: | II |
Gender: | M |
Credentials: | RPH, PHD, BCPS |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 3601 A ST |
Mailing Address - Street 2: | |
Mailing Address - City: | PHILADELPHIA |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 19134-1043 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 215-427-5317 |
Mailing Address - Fax: | 215-427-4827 |
Practice Address - Street 1: | 3601 A ST |
Practice Address - Street 2: | |
Practice Address - City: | PHILADELPHIA |
Practice Address - State: | PA |
Practice Address - Zip Code: | 19134-1043 |
Practice Address - Country: | US |
Practice Address - Phone: | 215-427-5317 |
Practice Address - Fax: | 215-427-4827 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2005-08-12 |
Last Update Date: | 2011-12-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
VA | 0202205165 | 183500000X |
DC | PH100000586 | 1835P1200X |
PA | RP039473R | 1835P0018X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 1835P0018X | Pharmacy Service Providers | Pharmacist | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
No | 183500000X | Pharmacy Service Providers | Pharmacist | |
No | 1835P1200X | Pharmacy Service Providers | Pharmacist | Pharmacotherapy |