Provider Demographics
NPI:1316194509
Name:CHRISTOPHER A. BARWICK
Entity Type:Organization
Organization Name:CHRISTOPHER A. BARWICK
Other - Org Name:CHRISTOPHER BARWICK
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:BARWICK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:205-310-3785
Mailing Address - Street 1:11191 WOODBANK DR
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35405-9523
Mailing Address - Country:US
Mailing Address - Phone:205-310-3785
Mailing Address - Fax:866-304-0744
Practice Address - Street 1:11191 WOODBANK DR
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35405-9523
Practice Address - Country:US
Practice Address - Phone:205-310-3785
Practice Address - Fax:866-304-0744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-19
Last Update Date:2012-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13179183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051552525BARMedicare PIN
AL051552525Medicare UPIN