Healthcare Provider Details

I. General information

NPI: 1740059583
Provider Name (Legal Business Name): AARON JEFFREY PARNELL PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2023
Last Update Date: 12/21/2023
Certification Date: 12/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 E MAIN ST
BENSON NC
27504-1530
US

IV. Provider business mailing address

216 ANNA ST
LILLINGTON NC
27546-5112
US

V. Phone/Fax

Practice location:
  • Phone: 919-207-0637
  • Fax:
Mailing address:
  • Phone: 919-738-3510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number32710
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: