Provider Demographics
NPI:1205277621
Name:COKER, BARRY LYNN (RPH)
Entity type:Individual
Prefix:MR
First Name:BARRY
Middle Name:LYNN
Last Name:COKER
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 1:1820 MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-3320
Mailing Address - Country:US
Mailing Address - Phone:251-424-5340
Mailing Address - Fax:
Practice Address - Street 1:1820 MORNINGSIDE DR
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-3320
Practice Address - Country:US
Practice Address - Phone:251-424-5340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-14
Last Update Date:2013-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS18652183500000X
AL99511835P0018X
FLPU48271835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist