Provider Demographics
NPI:1588662100
Name:BARNETT, MITCHELL J (PHARMD, MS)
Entity Type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:J
Last Name:BARNETT
Suffix:
Gender:M
Credentials:PHARMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 MARY CT
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-9322
Mailing Address - Country:US
Mailing Address - Phone:319-338-1635
Mailing Address - Fax:
Practice Address - Street 1:70 MARY CT
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-9322
Practice Address - Country:US
Practice Address - Phone:319-338-1635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA173091835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric