Provider Demographics
NPI:1629533823
Name:BARLOW, JAMES CLINTON
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CLINTON
Last Name:BARLOW
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2560 SULLIVAN KNOWLES RD
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:TN
Mailing Address - Zip Code:38583-4765
Mailing Address - Country:US
Mailing Address - Phone:931-267-0241
Mailing Address - Fax:
Practice Address - Street 1:2560 SULLIVAN KNOWLES RD
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:TN
Practice Address - Zip Code:38583-4765
Practice Address - Country:US
Practice Address - Phone:931-267-0241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-01
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6124183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN6124OtherBOARD OF PHARMACY