Provider Demographics
NPI:1215017116
Name:YOUNG, BARRY L (RPH)
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:L
Last Name:YOUNG
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 1:5257 KARRINGTON DR
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-6022
Mailing Address - Country:US
Mailing Address - Phone:412-677-1028
Mailing Address - Fax:412-257-1266
Practice Address - Street 1:500 OLD POND RD
Practice Address - Street 2:SUITE 406
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-1272
Practice Address - Country:US
Practice Address - Phone:412-257-1263
Practice Address - Fax:412-257-1266
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP040052L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist