Provider Demographics
NPI:1265593636
Name:PARSONS, DAWN M (RPH, MBA)
Entity type:Individual
Prefix:MS
First Name:DAWN
Middle Name:M
Last Name:PARSONS
Suffix:
Gender:F
Credentials:RPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7501 TRINITY PEAK ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-9035
Mailing Address - Country:US
Mailing Address - Phone:702-240-5566
Mailing Address - Fax:
Practice Address - Street 1:7501 TRINITY PEAK ST
Practice Address - Street 2:SUITE 210
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-9035
Practice Address - Country:US
Practice Address - Phone:702-240-5566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302025729183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5302025729OtherPHARMACIST LICENSE NUMBER