Basic Information
Provider Information
NPI: 1285804146
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARRISH
FirstName: JASON
MiddleName: TODD
NamePrefix: DR.
NameSuffix:  
Credential: PHARM D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1000 LOCUST ST
Address2: PHARMACY SERVICE (119)
City: RENO
State: NV
PostalCode: 895022597
CountryCode: US
TelephoneNumber: 7757867200
FaxNumber:  
Practice Location
Address1: 1000 LOCUST ST
Address2: PHARMACY SERVICE (119)
City: RENO
State: NV
PostalCode: 895022597
CountryCode: US
TelephoneNumber: 7757867200
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/06/2008
LastUpdateDate: 07/17/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1835P1200X60198CAY Pharmacy Service ProvidersPharmacistPharmacotherapy

No ID Information.


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