Provider Demographics
NPI:1134684178
Name:BARNETT, ALITTA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALITTA
Middle Name:
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 1:7517 PLUM CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41005-7828
Mailing Address - Country:US
Mailing Address - Phone:859-640-3602
Mailing Address - Fax:
Practice Address - Street 1:8820 US HIGHWAY 42
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-8851
Practice Address - Country:US
Practice Address - Phone:859-488-0884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-04
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26027626A183500000X
OH03337196183500000X
KY019848183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist