Provider Demographics
NPI:1851623060
Name:BARNES, STEPHEN A (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:A
Last Name:BARNES
Suffix:
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:PO BOX 187
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45338-0187
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4200 WESTERN AVENUE
Practice Address - Street 2:
Practice Address - City:CONNERSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47331-9729
Practice Address - Country:US
Practice Address - Phone:765-825-7664
Practice Address - Fax:765-825-7868
Is Sole Proprietor?:No
Enumeration Date:2010-02-12
Last Update Date:2022-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12421183500000X
IN26023990A183500000X
FLPS37871183500000X
OH03-3-19792183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist