Provider Demographics
NPI:1255407839
Name:BARTON, MARIA LOURDES LIBRE (PHARMD, BCPS, BCACP)
Entity type:Individual
Prefix:DR
First Name:MARIA LOURDES
Middle Name:LIBRE
Last Name:BARTON
Suffix:
Gender:F
Credentials:PHARMD, BCPS, BCACP
Other - Prefix:MRS
Other - First Name:LOURDES
Other - Middle Name:LIBRE
Other - Last Name:BARTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD, BCPS, BCACP
Mailing Address - Street 1:5254 MISSION VIEW CT
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-3620
Mailing Address - Country:US
Mailing Address - Phone:650-799-6389
Mailing Address - Fax:
Practice Address - Street 1:4860 Y ST STE 400
Practice Address - Street 2:ROOM 1055
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2307
Practice Address - Country:US
Practice Address - Phone:916-734-1430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58477183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist