Provider Demographics
NPI:1508321852
Name:BARBOUR, NATHAN CHRISTOPHER (RPH)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:CHRISTOPHER
Last Name:BARBOUR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:358 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:99114-2310
Mailing Address - Country:US
Mailing Address - Phone:509-648-1440
Mailing Address - Fax:509-684-2745
Practice Address - Street 1:358 N MAIN ST
Practice Address - Street 2:
Practice Address - City:COLVILLE
Practice Address - State:WA
Practice Address - Zip Code:99114-2310
Practice Address - Country:US
Practice Address - Phone:509-684-1440
Practice Address - Fax:509-684-2745
Is Sole Proprietor?:No
Enumeration Date:2019-01-31
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00021417183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist