Provider Demographics
NPI:1912002486
Name:BARNEYS PHARMACY INC
Entity Type:Organization
Organization Name:BARNEYS PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAGHBENE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:316-945-3388
Mailing Address - Street 1:3108 W CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-4912
Mailing Address - Country:US
Mailing Address - Phone:316-945-3388
Mailing Address - Fax:316-945-4676
Practice Address - Street 1:3108 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-4912
Practice Address - Country:US
Practice Address - Phone:316-945-3388
Practice Address - Fax:316-945-4676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1715513OtherNABP
KS0852590001Medicare ID - Type Unspecified