Provider Demographics
NPI:1346600202
Name:BARNDT, BRIAN L (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:L
Last Name:BARNDT
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 1:5314 ALLENTOWN PIKE
Mailing Address - Street 2:PHARMACY DEPARTMENT
Mailing Address - City:TEMPLE
Mailing Address - State:PA
Mailing Address - Zip Code:19560-1249
Mailing Address - Country:US
Mailing Address - Phone:610-929-5357
Mailing Address - Fax:610-929-5614
Practice Address - Street 1:5314 ALLENTOWN PIKE
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:TEMPLE
Practice Address - State:PA
Practice Address - Zip Code:19560-1249
Practice Address - Country:US
Practice Address - Phone:610-929-5357
Practice Address - Fax:610-929-5614
Is Sole Proprietor?:No
Enumeration Date:2016-03-03
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP438413183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARPI007355OtherIMZ LICENSE
PARP438413OtherLICENSE