Most Relevant Information
Provider Data
| NPI Number: | 1003653031 |
| Provider Name: | JESSICA MARIE PARKS PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 0330135112 |
Most Important Dates
| Enumeration Date: | 07/09/2024 |
| Last Updated: | 07/09/2024 |
Provider Practice Location
7300 S RAEFORD RD
FAYETTEVILLE
NC
283046162
Practice Location Phone/Fax
| Phone: | 9104882120 |
| Fax: |
Provider Mailing Location
3134 HARMONY HALL WAY APT 205
FAYETTEVILLE
NC
283035198
Provider Mailing Phone/Fax
| Phone: | 8148818847 |
| Fax: |