Provider Demographics
NPI:1275864100
Name:BARKER, BRETT HENRY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:HENRY
Last Name:BARKER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 6TH ST
Mailing Address - Street 2:
Mailing Address - City:NEVADA
Mailing Address - State:IA
Mailing Address - Zip Code:50201-1826
Mailing Address - Country:US
Mailing Address - Phone:515-382-2485
Mailing Address - Fax:515-382-3473
Practice Address - Street 1:1002 6TH ST
Practice Address - Street 2:
Practice Address - City:NEVADA
Practice Address - State:IA
Practice Address - Zip Code:50201-1826
Practice Address - Country:US
Practice Address - Phone:515-382-2485
Practice Address - Fax:515-382-3473
Is Sole Proprietor?:No
Enumeration Date:2010-01-15
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20863183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2012032115OtherSTATE LICENSE NUMBER
MN120894OtherSTATE LICENSE NUMBER
NDRPH6122OtherSTATE LICENSE NUMBER
IL051296263OtherSTATE LICENSE NUMBER
WI1684540OtherSTATE LICENSE NUMBER
IA20863OtherSTATE LICENSE NUMBER