Most Relevant Information
Provider Data
| NPI Number: | 1003412727 |
| Provider Name: | JEREMY PARKS PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 50621 |
Most Important Dates
| Enumeration Date: | 12/08/2020 |
| Last Updated: | 12/08/2020 |
Provider Practice Location
707 N LLANO ST
FREDERICKSBURG
TX
786243943
Practice Location Phone/Fax
| Phone: | 8309978155 |
| Fax: |
Provider Mailing Location
707 N LLANO ST
FREDERICKSBURG
TX
786243943
Provider Mailing Phone/Fax
| Phone: | 8309978155 |
| Fax: |