Provider Demographics
NPI:1861047714
Name:PARISI, TIFFANY (PHARMACIST)
Entity type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:
Last Name:PARISI
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:MS
Other - First Name:TIFFANY
Other - Middle Name:
Other - Last Name:SKEETE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3915 GAITHERSBURG LN
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-2092
Mailing Address - Country:US
Mailing Address - Phone:910-257-2392
Mailing Address - Fax:
Practice Address - Street 1:1600 SKIBO RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-3480
Practice Address - Country:US
Practice Address - Phone:910-868-8178
Practice Address - Fax:910-868-9224
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28964183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist