Provider Demographics
NPI:1972150910
Name:PARMER, JIMMY DOYLE (RPH)
Entity type:Individual
Prefix:
First Name:JIMMY
Middle Name:DOYLE
Last Name:PARMER
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:PO BOX 129
Mailing Address - Street 2:
Mailing Address - City:CROWELL
Mailing Address - State:TX
Mailing Address - Zip Code:79227-0129
Mailing Address - Country:US
Mailing Address - Phone:940-684-1581
Mailing Address - Fax:940-684-1860
Practice Address - Street 1:102 E COMMERCE
Practice Address - Street 2:
Practice Address - City:CROWELL
Practice Address - State:TX
Practice Address - Zip Code:79227
Practice Address - Country:US
Practice Address - Phone:940-684-1581
Practice Address - Fax:940-684-1860
Is Sole Proprietor?:No
Enumeration Date:2019-08-23
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25470183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist