Provider Demographics
NPI:1407124233
Name:BARHORST, DEVON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DEVON
Middle Name:
Last Name:BARHORST
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 REMSEN AVE NW
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32907-7722
Mailing Address - Country:US
Mailing Address - Phone:321-302-9630
Mailing Address - Fax:
Practice Address - Street 1:975 S BABCOCK ST
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-1852
Practice Address - Country:US
Practice Address - Phone:321-723-4664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 45476183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist