Provider Demographics
NPI:1982209110
Name:BARNETT, KATRINA (PHARMD)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:
Last Name:BARNETT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1033 HOLLY TREE GAP RD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-6401
Mailing Address - Country:US
Mailing Address - Phone:901-292-6670
Mailing Address - Fax:
Practice Address - Street 1:11563 OLD NASHVILLE HWY
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-3525
Practice Address - Country:US
Practice Address - Phone:615-223-0538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN44322183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist