Provider Demographics
NPI:1376766279
Name:BARKER, BRIAN (RPH)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:
Last Name:BARKER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3110 WHITEWATER DR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-1561
Mailing Address - Country:US
Mailing Address - Phone:801-273-7176
Mailing Address - Fax:
Practice Address - Street 1:50 NORTH MEDICAL DRIVE (A050)
Practice Address - Street 2:UNIVERSITY OF UTAH HOSPITAL DEPT OF PHARMACY
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84123
Practice Address - Country:US
Practice Address - Phone:801-581-2167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT132349-89111835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy