Provider Demographics
NPI:1104195247
Name:BARLOND, PAUL A (RPH)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:A
Last Name:BARLOND
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 1:623 S BURLINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98233-2209
Mailing Address - Country:US
Mailing Address - Phone:360-707-2741
Mailing Address - Fax:360-707-5928
Practice Address - Street 1:623 S BURLINGTON BLVD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98233-2209
Practice Address - Country:US
Practice Address - Phone:360-707-2741
Practice Address - Fax:360-707-5928
Is Sole Proprietor?:No
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00009273183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist