Provider Demographics
NPI:1114601226
Name:BARNETT, CAROL LEE (PHARMD)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:LEE
Last Name:BARNETT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2927 NASHVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:LANCING
Mailing Address - State:TN
Mailing Address - Zip Code:37770-2677
Mailing Address - Country:US
Mailing Address - Phone:423-223-8941
Mailing Address - Fax:
Practice Address - Street 1:926 MAIN ST
Practice Address - Street 2:
Practice Address - City:WARTBURG
Practice Address - State:TN
Practice Address - Zip Code:37887-4199
Practice Address - Country:US
Practice Address - Phone:423-346-3505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN47194183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist