Provider Demographics
NPI:1114089802
Name:BARWICK, CHRISTOPHER ALLEN (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:ALLEN
Last Name:BARWICK
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 1:11191 WOODBANK DR
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35405-9523
Mailing Address - Country:US
Mailing Address - Phone:205-310-3785
Mailing Address - Fax:205-391-4619
Practice Address - Street 1:11191 WOODBANK DR
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35405-9523
Practice Address - Country:US
Practice Address - Phone:205-310-3785
Practice Address - Fax:866-304-0744
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2012-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13179183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051552525BARMedicare ID - Type UnspecifiedMEDICARE
AL051552525BARMedicare PIN