Provider Demographics
NPI:1568785111
Name:SCIANDRA, BARBARA A (PHARMD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:SCIANDRA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 PINEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18702-7249
Mailing Address - Country:US
Mailing Address - Phone:570-655-3695
Mailing Address - Fax:
Practice Address - Street 1:910 WILKES BARRE TOWNSHIP BLVD
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18702-6162
Practice Address - Country:US
Practice Address - Phone:570-823-3363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP437977183500000X
PARPI000161183500000X
IL051289375183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist