Provider Demographics
NPI:1720200413
Name:YOUNG, BARBARA S
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:S
Last Name:YOUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 OAK ST
Mailing Address - Street 2:
Mailing Address - City:LUDLOW
Mailing Address - State:KY
Mailing Address - Zip Code:41016-1417
Mailing Address - Country:US
Mailing Address - Phone:859-431-3298
Mailing Address - Fax:859-292-2873
Practice Address - Street 1:301 ELM ST
Practice Address - Street 2:
Practice Address - City:LUDLOW
Practice Address - State:KY
Practice Address - Zip Code:41016-1450
Practice Address - Country:US
Practice Address - Phone:859-261-2210
Practice Address - Fax:859-292-2873
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician