Provider Demographics
NPI:1841597192
Name:BARNETT, MAURICE HENRY III (RPH)
Entity Type:Individual
Prefix:MR
First Name:MAURICE
Middle Name:HENRY
Last Name:BARNETT
Suffix:III
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 45TH ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2376
Mailing Address - Country:US
Mailing Address - Phone:561-296-3795
Mailing Address - Fax:561-296-3796
Practice Address - Street 1:1115 45TH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2376
Practice Address - Country:US
Practice Address - Phone:561-296-3795
Practice Address - Fax:561-296-3796
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS33363183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist