Provider Demographics
NPI:1538753736
Name:PARISI, JOSEPH ANNUNZIO (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ANNUNZIO
Last Name:PARISI
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 RAVEN DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03036-4175
Mailing Address - Country:US
Mailing Address - Phone:603-490-1415
Mailing Address - Fax:
Practice Address - Street 1:112 BENNETT DR
Practice Address - Street 2:
Practice Address - City:CARIBOU
Practice Address - State:ME
Practice Address - Zip Code:04736-2022
Practice Address - Country:US
Practice Address - Phone:207-498-8735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-28
Last Update Date:2021-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR69752183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist