Provider Demographics
NPI:1316388515
Name:BARNETT, RYAN BENJAMIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:BENJAMIN
Last Name:BARNETT
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 1:6057 WHITE HORSE RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29611-3842
Mailing Address - Country:US
Mailing Address - Phone:864-295-0243
Mailing Address - Fax:864-295-1959
Practice Address - Street 1:6057 WHITE HORSE RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29611-3842
Practice Address - Country:US
Practice Address - Phone:864-295-0243
Practice Address - Fax:864-295-1959
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC14228183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist