Provider Demographics
NPI:1457785545
Name:BARBREY, BOBBIE SUTTON (RPH)
Entity Type:Individual
Prefix:
First Name:BOBBIE
Middle Name:SUTTON
Last Name:BARBREY
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 1:6675 FALLS OF NEUSE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6803
Mailing Address - Country:US
Mailing Address - Phone:919-676-6161
Mailing Address - Fax:919-676-6575
Practice Address - Street 1:6675 FALLS OF NEUSE RD STE 101
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6803
Practice Address - Country:US
Practice Address - Phone:919-676-6161
Practice Address - Fax:919-676-6575
Is Sole Proprietor?:No
Enumeration Date:2013-08-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6540183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist