Provider Demographics
NPI:1003106972
Name:SCOTT, BARBARA JOYCE (PHARMACIST)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:JOYCE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 N HILLS ST
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39305-2201
Mailing Address - Country:US
Mailing Address - Phone:601-482-8197
Mailing Address - Fax:
Practice Address - Street 1:2901 N HILLS ST
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39305-2201
Practice Address - Country:US
Practice Address - Phone:601-482-8197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MST 09903183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist