Provider Demographics
NPI:1477836633
Name:BARRINGTON, GWENETTA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:GWENETTA
Middle Name:
Last Name:BARRINGTON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7403 ALOMA AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-9101
Mailing Address - Country:US
Mailing Address - Phone:407-677-8589
Mailing Address - Fax:407-677-6517
Practice Address - Street 1:7403 ALOMA AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-9101
Practice Address - Country:US
Practice Address - Phone:407-677-8589
Practice Address - Fax:407-677-6517
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS33461183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist