Provider Demographics
NPI:1093988024
Name:BARKER, STEPHEN D (RPH)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:D
Last Name:BARKER
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 1:225 WEST AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BOSTON
Mailing Address - State:OH
Mailing Address - Zip Code:45662-4977
Mailing Address - Country:US
Mailing Address - Phone:740-456-8271
Mailing Address - Fax:740-456-2048
Practice Address - Street 1:225 WEST AVE
Practice Address - Street 2:
Practice Address - City:NEW BOSTON
Practice Address - State:OH
Practice Address - Zip Code:45662-4977
Practice Address - Country:US
Practice Address - Phone:740-456-8271
Practice Address - Fax:740-456-2048
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-10367183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist