Provider Demographics
NPI:1639340961
Name:BARNETT, ANN MARIE (CPHT)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:BARNETT
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:464 NIXON RD
Mailing Address - Street 2:
Mailing Address - City:CHESWICK
Mailing Address - State:PA
Mailing Address - Zip Code:15024-1038
Mailing Address - Country:US
Mailing Address - Phone:724-275-1203
Mailing Address - Fax:
Practice Address - Street 1:464 NIXON RD
Practice Address - Street 2:
Practice Address - City:CHESWICK
Practice Address - State:PA
Practice Address - Zip Code:15024-1038
Practice Address - Country:US
Practice Address - Phone:724-275-1203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA070105262837927183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician