Provider Demographics
NPI:1689981615
Name:BARNHILL, NISHAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NISHAN
Middle Name:
Last Name:BARNHILL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 MANGROVE BLVD
Mailing Address - Street 2:
Mailing Address - City:EMERALD ISLE
Mailing Address - State:NC
Mailing Address - Zip Code:28594-2517
Mailing Address - Country:US
Mailing Address - Phone:252-354-7541
Mailing Address - Fax:252-354-2680
Practice Address - Street 1:300 MANGROVE BLVD
Practice Address - Street 2:
Practice Address - City:EMERALD ISLE
Practice Address - State:NC
Practice Address - Zip Code:28594-2517
Practice Address - Country:US
Practice Address - Phone:252-354-7541
Practice Address - Fax:252-354-2680
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11296183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist