Provider Demographics
NPI:1508163973
Name:BARGER, MARLA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MARLA
Middle Name:
Last Name:BARGER
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 1:155 SEA ISLAND PKWY
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29907-1582
Mailing Address - Country:US
Mailing Address - Phone:843-522-6819
Mailing Address - Fax:843-522-9317
Practice Address - Street 1:155 SEA ISLAND PKWY
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29907-1582
Practice Address - Country:US
Practice Address - Phone:843-522-6819
Practice Address - Fax:843-522-9317
Is Sole Proprietor?:No
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12572183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist