MEDICARE: DENA PARSA

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	024084	KY

General Provider Information

NPI Number	:	1992520886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENA PARSA

Provider Business Mailing Address
First Line	:	1608 UNIVERSITY CT APT B108
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-1506
Country	:	US
Telephone Number	:	310-497-7933
Fax Number	:

Provider Business Practice Location Address
First Line	:	3735 PALOMAR CENTRE DR STE 80
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40513-1168
Country	:	US
Telephone Number	:	859-223-0701
Fax Number	:

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

Provider Enumeration Date	:	11/18/2024
Last Update Date	:	11/18/2024

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Directions to “ DENA PARSA ” Practice Location

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