Provider Demographics
NPI:1215217948
Name:BARBIERO, ANN MARIE (RPH,CDE)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:MARIE
Last Name:BARBIERO
Suffix:
Gender:F
Credentials:RPH,CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1352 SHAYS GROVE LN
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-1915
Mailing Address - Country:US
Mailing Address - Phone:801-274-3275
Mailing Address - Fax:
Practice Address - Street 1:1352 SHAYS GROVE LN
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84121-1915
Practice Address - Country:US
Practice Address - Phone:801-274-3275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7321536-1701183500000X
NV9703183500000X
AZ8603183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist