Provider Demographics
NPI:1558389577
Name:BARR, DELORES IRENE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DELORES
Middle Name:IRENE
Last Name:BARR
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 1:223 PINE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:PA
Mailing Address - Zip Code:17968-9522
Mailing Address - Country:US
Mailing Address - Phone:570-682-9493
Mailing Address - Fax:
Practice Address - Street 1:301 W. MAIN STREET
Practice Address - Street 2:
Practice Address - City:VALLEY VIEW
Practice Address - State:PA
Practice Address - Zip Code:17983
Practice Address - Country:US
Practice Address - Phone:570-682-3145
Practice Address - Fax:570-682-9866
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP027277L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist