Provider Demographics
NPI:1285389379
Name:PARSHALL, JENNIFER KATHRYN (PHARMD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:KATHRYN
Last Name:PARSHALL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9519 PARROT PL
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-9004
Mailing Address - Country:US
Mailing Address - Phone:513-482-1596
Mailing Address - Fax:
Practice Address - Street 1:605 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-1605
Practice Address - Country:US
Practice Address - Phone:513-932-7040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03228085183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist