Provider Demographics
NPI:1093888299
Name:BARNETT, JOHN ALAN (RPH)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ALAN
Last Name:BARNETT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-8612
Mailing Address - Country:US
Mailing Address - Phone:406-866-0469
Mailing Address - Fax:406-731-4928
Practice Address - Street 1:7300 N PERIMETER RD
Practice Address - Street 2:PHARMACY
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59402-6701
Practice Address - Country:US
Practice Address - Phone:406-731-2468
Practice Address - Fax:406-731-4928
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9177183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist