MEDICARE: KATLEEN MARY PARISE PHARMD

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	03331074	OH

General Provider Information

NPI Number	:	1427397223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATLEEN MARY PARISE PHARMD

Provider Business Mailing Address
First Line	:	1278 W 9TH ST
Second Line	:	APT 724
City	:	CLEVELAND
State	:	OH
Zip	:	44113-1028
Country	:	US
Telephone Number	:	814-939-9230
Fax Number	:

Provider Business Practice Location Address
First Line	:	1278 W 9TH ST
Second Line	:	APT 724
City	:	CLEVELAND
State	:	OH
Zip	:	44113-1028
Country	:	US
Telephone Number	:	814-939-9230
Fax Number	:

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

Provider Enumeration Date	:	02/14/2013
Last Update Date	:	02/14/2013

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Directions to “ KATLEEN MARY PARISE PHARMD” Practice Location

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