Provider Demographics
NPI:1073894085
Name:BARNETT, GRAHAM D (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GRAHAM
Middle Name:D
Last Name:BARNETT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 UNIVERSITY BLVD E
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-7445
Mailing Address - Country:US
Mailing Address - Phone:301-445-8159
Mailing Address - Fax:301-439-0393
Practice Address - Street 1:1329 UNIVERSITY BLVD E
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-7445
Practice Address - Country:US
Practice Address - Phone:301-445-8159
Practice Address - Fax:301-439-0393
Is Sole Proprietor?:No
Enumeration Date:2011-09-03
Last Update Date:2011-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19121183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist