Provider Demographics
NPI:1316934623
Name:BRENCHLEY, PARILEE (RPH)
Entity type:Individual
Prefix:
First Name:PARILEE
Middle Name:
Last Name:BRENCHLEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:593 N BAYSHORE DR
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-3129
Mailing Address - Country:US
Mailing Address - Phone:727-726-7775
Mailing Address - Fax:727-726-2087
Practice Address - Street 1:2175 MAIN ST
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-5606
Practice Address - Country:US
Practice Address - Phone:727-733-6241
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL19343183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist