MEDICARE: TARA LYNN PARENT

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	5302031294	MI

General Provider Information

NPI Number	:	1588253793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA LYNN PARENT

Provider Business Mailing Address
First Line	:	128 W GENESEE ST
Second Line	:
City	:	IRON RIVER
State	:	MI
Zip	:	49935-1437
Country	:	US
Telephone Number	:	906-265-2312
Fax Number	:	906-265-5608

Provider Business Practice Location Address
First Line	:	128 W GENESEE ST
Second Line	:
City	:	IRON RIVER
State	:	MI
Zip	:	49935-1437
Country	:	US
Telephone Number	:	906-265-2312
Fax Number	:	906-265-5608

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

Provider Enumeration Date	:	01/12/2021
Last Update Date	:	01/12/2021

Similar Medicare Providers

1497704456 — MK STORES INC
Practice Location Address:

128 W GENESEE ST
IRON RIVER, MI
49935-1437

Practice Phone: 906-265-2312
Practice Fax: 906-265-5608

1043260375 — MR. ROBERT P BUSAKOWSKI RPH
Practice Location Address:

128 W GENESEE ST
IRON RIVER, MI
49935-1437

Practice Phone: 906-265-2312
Practice Fax: 906-265-5608

1588757447 — DR. ROBERT RUTKOWSKI D.C.
Practice Location Address:

8528 W. GRAND AVENUE
RIVER GROVE, IL
60171-1437

Practice Phone: 708-456-6212
Practice Fax: 708-456-9201

1881819050 — ZOLLIEVILLE REST HOME NO2 INC
Practice Location Address:

1437 EAST RIVER RD
LOUISBURG, NC
27549-8584

Practice Phone: 919-496-4170
Practice Fax: 919-496-5639

1942504006 — DR. HENRY GURALNICK M.D.
Practice Location Address:

1105 ASHLAND AVE
RIVER FOREST, IL
60305-1437

Practice Phone: 708-366-8773
Practice Fax: 708-771-1875

1497025068 — ROBERT RUTKOWSKI DCPC
Practice Location Address:

8528 GRAND AVE
RIVER GROVE, IL
60171-1437

Practice Phone: 708-456-6212
Practice Fax: 708-456-9201

Directions to “ TARA LYNN PARENT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.