Provider Demographics
NPI:1467728501
Name:BARNES, REBECCA (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:BARNES
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1574 E PARHAM RD
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23228-2360
Mailing Address - Country:US
Mailing Address - Phone:804-553-3970
Mailing Address - Fax:804-553-3971
Practice Address - Street 1:1574 E PARHAM RD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23228-2360
Practice Address - Country:US
Practice Address - Phone:804-553-3970
Practice Address - Fax:804-553-3971
Is Sole Proprietor?:No
Enumeration Date:2012-03-22
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202211120183500000X
NC21174183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist