MEDICARE: LAWRENCE PARSAN NASIEKU 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
1	183500000X	Pharmacist	53893	TX
2	183500000X	Pharmacist	1671499	ID

General Provider Information

NPI Number	:	1760087605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAWRENCE PARSAN NASIEKU PHARM.D.

Provider Business Mailing Address
First Line	:	8368 BELTMILL PKWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76131-3192
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8368 BELTMILL PKWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76131-3192
Country	:	US
Telephone Number	:	254-559-6579
Fax Number	:

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

Provider Enumeration Date	:	11/30/2020
Last Update Date	:	04/09/2026

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Directions to “ LAWRENCE PARSAN NASIEKU PHARM.D.” Practice Location

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