Provider Demographics
NPI:1336405398
Name:ARGO, BARISA M (PHARM D)
Entity Type:Individual
Prefix:
First Name:BARISA
Middle Name:M
Last Name:ARGO
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1983 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OR
Mailing Address - Zip Code:97355-3142
Mailing Address - Country:US
Mailing Address - Phone:541-259-5706
Mailing Address - Fax:541-259-5708
Practice Address - Street 1:1983 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OR
Practice Address - Zip Code:97355-3142
Practice Address - Country:US
Practice Address - Phone:541-259-5706
Practice Address - Fax:541-259-5708
Is Sole Proprietor?:No
Enumeration Date:2012-04-04
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0013000183500000X
ORRPH-00130001835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist