Provider Demographics
NPI:1417185505
Name:BARGER, ELLEN KRAJEWSKI (PHARM D)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:KRAJEWSKI
Last Name:BARGER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1578 HIGHWAY 44 E UNIT 1
Mailing Address - Street 2:
Mailing Address - City:SHEPHERDSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40165-7172
Mailing Address - Country:US
Mailing Address - Phone:502-543-8200
Mailing Address - Fax:502-543-8500
Practice Address - Street 1:1578 HIGHWAY 44 E UNIT 1
Practice Address - Street 2:
Practice Address - City:SHEPHERDSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40165-7172
Practice Address - Country:US
Practice Address - Phone:502-543-8200
Practice Address - Fax:502-543-8500
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY014489183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist