Provider Demographics
NPI:1497049365
Name:BARRETT, TRISHA A (RPH)
Entity Type:Individual
Prefix:MS
First Name:TRISHA
Middle Name:A
Last Name:BARRETT
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 1:6 OLYMPIA ST
Mailing Address - Street 2:
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-2334
Mailing Address - Country:US
Mailing Address - Phone:413-527-7996
Mailing Address - Fax:
Practice Address - Street 1:32 UNION ST
Practice Address - Street 2:
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-1418
Practice Address - Country:US
Practice Address - Phone:413-527-7410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH23594183500000X
SC12899183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist