Healthcare Provider Details

I. General information

NPI: 1265942304
Provider Name (Legal Business Name): LANCE PARSLEY PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2017
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 E NORTH AVE
VILLA PARK IL
60181-1244
US

IV. Provider business mailing address

50 E NORTH AVE
VILLA PARK IL
60181-1244
US

V. Phone/Fax

Practice location:
  • Phone: 630-833-7461
  • Fax: 630-589-0354
Mailing address:
  • Phone: 630-833-7461
  • Fax: 630-589-0354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051300838
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: