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NPI Code Detail

MEDICARE: DANIELLE FAITH PARKER PHARM D.

MEDICARE: DANIELLE FAITH PARKER PHARM D.
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
1183500000XPharmacist015601KY

General Provider Information

NPI Number : 1568745230
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE FAITH PARKER PHARM D.
Provider Business Mailing Address
First Line : 5201 S 3RD ST
Second Line :
City : LOUISVILLE
State : KY
Zip : 40214-2640
Country : US
Telephone Number : 502-361-2349
Fax Number : 502-367-0273
Provider Business Practice Location Address
First Line : 5201 S 3RD ST
Second Line :
City : LOUISVILLE
State : KY
Zip : 40214-2640
Country : US
Telephone Number : 502-361-2349
Fax Number : 502-367-0273
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2011
Last Update Date : 09/20/2011

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