Provider Demographics
NPI:1285768606
Name:PARSONS, DALE ALLEN (RPH)
Entity type:Individual
Prefix:MR
First Name:DALE
Middle Name:ALLEN
Last Name:PARSONS
Suffix:
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 1:2809 BEACH DR
Mailing Address - Street 2:
Mailing Address - City:BELPRE
Mailing Address - State:OH
Mailing Address - Zip Code:45714-1829
Mailing Address - Country:US
Mailing Address - Phone:304-401-0565
Mailing Address - Fax:
Practice Address - Street 1:2809 BEACH DR
Practice Address - Street 2:
Practice Address - City:BELPRE
Practice Address - State:OH
Practice Address - Zip Code:45714-1829
Practice Address - Country:US
Practice Address - Phone:304-401-0565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-26101183500000X
WVRP0003655183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist