MEDICARE: ALEXANDER PARISH PHARMD, MBA

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	65630	TX

General Provider Information

NPI Number	:	1881426385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER PARISH PHARMD, MBA

Provider Business Mailing Address
First Line	:	18484 PRESTON RD STE 301
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75252-5475
Country	:	US
Telephone Number	:	469-206-2077
Fax Number	:

Provider Business Practice Location Address
First Line	:	18484 PRESTON RD STE 301
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75252-5475
Country	:	US
Telephone Number	:	469-206-2077
Fax Number	:

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

Provider Enumeration Date	:	08/14/2024
Last Update Date	:	08/14/2024

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