Provider Demographics
NPI:1598962383
Name:BARNEY, GLYNETTE HERBERT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GLYNETTE
Middle Name:HERBERT
Last Name:BARNEY
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 1:4155 40TH WAY S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33711-4223
Mailing Address - Country:US
Mailing Address - Phone:727-542-6080
Mailing Address - Fax:727-867-0660
Practice Address - Street 1:4155 40TH WAY S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33711-4223
Practice Address - Country:US
Practice Address - Phone:727-542-6080
Practice Address - Fax:727-867-0660
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS20660183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist