Provider Demographics
NPI:1275637415
Name:ROBERT W. BARNHILL
Entity Type:Organization
Organization Name:ROBERT W. BARNHILL
Other - Org Name:LOXLEY DISCOUNT DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:BARNHILL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:251-964-5332
Mailing Address - Street 1:PO BOX 217
Mailing Address - Street 2:
Mailing Address - City:LOXLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36551-0217
Mailing Address - Country:US
Mailing Address - Phone:251-964-5332
Mailing Address - Fax:251-964-2059
Practice Address - Street 1:2140 RELHAM AVENUE
Practice Address - Street 2:
Practice Address - City:LOXLEY
Practice Address - State:AL
Practice Address - Zip Code:36551
Practice Address - Country:US
Practice Address - Phone:251-964-5332
Practice Address - Fax:251-964-2059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-08
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL106280183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL100001784Medicaid