MEDICARE: PARKER PRESCRIPTION SERVICE, INC.

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	3336C0003X	Community/Retail Pharmacy	1-2034	OK

General Provider Information

NPI Number	:	1881693430
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARKER PRESCRIPTION SERVICE, INC.

Provider Business Mailing Address
First Line	:	4901 S PENN AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73119-4930
Country	:	US
Telephone Number	:	405-682-4423
Fax Number	:

Provider Business Practice Location Address
First Line	:	4901 S PENN AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73119-4930
Country	:	US
Telephone Number	:	405-682-4423
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT PHARMACIST
Name	:	MR. MIRAL H PARKER
Credential	:	D PH
Telephone Number	:	405-682-4423

Provider Enumeration Date	:	07/16/2005
Last Update Date	:	08/22/2020

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Directions to “PARKER PRESCRIPTION SERVICE, INC. ” Practice Location

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