Provider Demographics
NPI:1588085393
Name:PARSONS, CODY ALAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CODY
Middle Name:ALAN
Last Name:PARSONS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 W CLIME ST
Mailing Address - Street 2:LOT 29
Mailing Address - City:DELPHOS
Mailing Address - State:OH
Mailing Address - Zip Code:45833-2213
Mailing Address - Country:US
Mailing Address - Phone:567-204-9568
Mailing Address - Fax:
Practice Address - Street 1:3100 14TH ST NW STE 201
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2478
Practice Address - Country:US
Practice Address - Phone:567-204-9568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-20
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH100001472183500000X
OH03233056183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist