Provider Demographics
NPI:1023392230
Name:BARBER, PAMELA LYNNE (RPH)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:LYNNE
Last Name:BARBER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:LYNNE
Other - Last Name:BANKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7599 W LAKE MEAD BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0274
Mailing Address - Country:US
Mailing Address - Phone:702-363-4622
Mailing Address - Fax:702-363-4828
Practice Address - Street 1:7599 W LAKE MEAD BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0274
Practice Address - Country:US
Practice Address - Phone:702-363-4622
Practice Address - Fax:702-363-4828
Is Sole Proprietor?:No
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10720183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist