MEDICARE: DANIELLE ROSE PARKER 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	03233928	OH

General Provider Information

NPI Number	:	1871157305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE ROSE PARKER PHARMD

Provider Business Mailing Address
First Line	:	4747 S PHILLIPS RD
Second Line	:
City	:	HARROD
State	:	OH
Zip	:	45850-9707
Country	:	US
Telephone Number	:	567-712-5232
Fax Number	:

Provider Business Practice Location Address
First Line	:	101B E PIKE ST
Second Line	:
City	:	JACKSON CENTER
State	:	OH
Zip	:	45334-6000
Country	:	US
Telephone Number	:	937-596-8100
Fax Number	:

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

Provider Enumeration Date	:	04/30/2019
Last Update Date	:	04/30/2019

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Directions to “ DANIELLE ROSE PARKER PHARMD” Practice Location

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