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NPI Code Detail

MEDICARE: DR. JAMES LARRY PARRISH III RPH

MEDICARE: DR. JAMES LARRY PARRISH III RPH
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
1183500000XPharmacistPS67828FL

General Provider Information

NPI Number : 1609697069
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES LARRY PARRISH III RPH
Provider Business Mailing Address
First Line : 2340 CHASTAIN AVE
Second Line :
City : DELTONA
State : FL
Zip : 32738-2534
Country : US
Telephone Number : 386-852-8739
Fax Number :
Provider Business Practice Location Address
First Line : 605 COURTLAND BLVD
Second Line :
City : DELTONA
State : FL
Zip : 32738-8913
Country : US
Telephone Number : 407-321-5421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2024
Last Update Date : 10/18/2024

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