Provider Demographics
NPI:1114928728
Name:BARNES, CHARISE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHARISE
Middle Name:
Last Name:BARNES
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 1:792 CLAIRIDGE OAK CT
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-7713
Mailing Address - Country:US
Mailing Address - Phone:770-722-0709
Mailing Address - Fax:
Practice Address - Street 1:792 CLAIRIDGE OAK CT
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-7713
Practice Address - Country:US
Practice Address - Phone:770-722-0709
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA20444183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist