Provider Demographics
NPI:1396731022
Name:BARTER, DENISE A (RPH MBA)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:A
Last Name:BARTER
Suffix:
Gender:F
Credentials:RPH MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 SATINLEAF AVE
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-4516
Mailing Address - Country:US
Mailing Address - Phone:813-855-9089
Mailing Address - Fax:813-855-9089
Practice Address - Street 1:708 SATINLEAF AVE
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-4516
Practice Address - Country:US
Practice Address - Phone:813-855-9089
Practice Address - Fax:813-855-9089
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS19705183500000X
FLPU2543183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist