Provider Demographics
NPI:1508168246
Name:BARLOW, SUZANNE BURNS (RPH)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:BURNS
Last Name:BARLOW
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:PO BOX 2607
Mailing Address - Street 2:
Mailing Address - City:DREXEL
Mailing Address - State:NC
Mailing Address - Zip Code:28619-2607
Mailing Address - Country:US
Mailing Address - Phone:828-433-6777
Mailing Address - Fax:828-433-1594
Practice Address - Street 1:2728 US 70 E
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-6978
Practice Address - Country:US
Practice Address - Phone:828-433-6777
Practice Address - Fax:828-433-1594
Is Sole Proprietor?:No
Enumeration Date:2010-12-01
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13446183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC13446OtherLICENSE NUMBER