Provider Demographics
NPI:1609697069
Name:PARRISH, JAMES LARRY III (RPH)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LARRY
Last Name:PARRISH
Suffix:III
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2340 CHASTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32738-2534
Mailing Address - Country:US
Mailing Address - Phone:386-852-8739
Mailing Address - Fax:
Practice Address - Street 1:605 COURTLAND BLVD
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32738-8913
Practice Address - Country:US
Practice Address - Phone:407-321-5421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS67828183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist