Provider Demographics
NPI:1831471390
Name:SHIRER, BARBARA WARREN (BARBARA)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:WARREN
Last Name:SHIRER
Suffix:
Gender:F
Credentials:BARBARA
Other - Prefix:MISS
Other - First Name:BARBARA
Other - Middle Name:JEANNE
Other - Last Name:WARREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BARBARA
Mailing Address - Street 1:1106 JOHN C. CALHOUN DR
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29115
Mailing Address - Country:US
Mailing Address - Phone:803-531-2079
Mailing Address - Fax:
Practice Address - Street 1:1106 JOHN C CALHOUN DR
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:SC
Practice Address - Zip Code:29115-6656
Practice Address - Country:US
Practice Address - Phone:803-531-2079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6078183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist