Provider Demographics
NPI:1023234960
Name:BAREFOOT, LYNN STEPHENSON (PHARMD)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:STEPHENSON
Last Name:BAREFOOT
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 1:116 PHYLLIS DR
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:NC
Mailing Address - Zip Code:27504-6577
Mailing Address - Country:US
Mailing Address - Phone:919-894-1043
Mailing Address - Fax:
Practice Address - Street 1:601 N 8TH ST STE D
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-4119
Practice Address - Country:US
Practice Address - Phone:919-934-2111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16402183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist