Provider Demographics
NPI:1629231824
Name:HITT, BARRY (RPH)
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:
Last Name:HITT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:DONALD
Other - Middle Name:B
Other - Last Name:HITT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:404 E EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:IA
Mailing Address - Zip Code:50125-1730
Mailing Address - Country:US
Mailing Address - Phone:515-962-9399
Mailing Address - Fax:515-962-2202
Practice Address - Street 1:404 E EUCLID AVE
Practice Address - Street 2:
Practice Address - City:INDIANOLA
Practice Address - State:IA
Practice Address - Zip Code:50125-1730
Practice Address - Country:US
Practice Address - Phone:515-962-9399
Practice Address - Fax:515-962-2202
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA15027183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist