Provider Demographics
NPI:1598185423
Name:BATES, BARBARA (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:BATES
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7102 E BIG MEADOWS RD
Mailing Address - Street 2:
Mailing Address - City:CHATTAROY
Mailing Address - State:WA
Mailing Address - Zip Code:99003-8500
Mailing Address - Country:US
Mailing Address - Phone:509-238-2468
Mailing Address - Fax:
Practice Address - Street 1:7102 E BIG MEADOWS RD
Practice Address - Street 2:
Practice Address - City:CHATTAROY
Practice Address - State:WA
Practice Address - Zip Code:99003-8500
Practice Address - Country:US
Practice Address - Phone:509-238-2468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-17
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00011327183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist