MEDICARE: DR. CATHERINE JEAN PARKS PHARMD, RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03237333	OH

General Provider Information

NPI Number	:	1003411760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHERINE JEAN PARKS PHARMD, RPH

Provider Business Mailing Address
First Line	:	7009 HAWTHORN TRCE
Second Line	:
City	:	INDEPENDENCE
State	:	OH
Zip	:	44131-5353
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	19950 DETROIT RD
Second Line	:
City	:	ROCKY RIVER
State	:	OH
Zip	:	44116-1837
Country	:	US
Telephone Number	:	440-356-1999
Fax Number	:	440-356-0382

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2020
Last Update Date	:	12/01/2020

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Directions to “ DR. CATHERINE JEAN PARKS PHARMD, RPH” Practice Location

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