Provider Demographics
NPI:1417192493
Name:BARR, CHRISTOPHER CURTIS
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:CURTIS
Last Name:BARR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1651 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BLAIR
Mailing Address - State:NE
Mailing Address - Zip Code:68008-1655
Mailing Address - Country:US
Mailing Address - Phone:402-426-2187
Mailing Address - Fax:402-426-2189
Practice Address - Street 1:1651 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BLAIR
Practice Address - State:NE
Practice Address - Zip Code:68008-1655
Practice Address - Country:US
Practice Address - Phone:402-426-2187
Practice Address - Fax:402-426-2189
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11904183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist