Provider Demographics
NPI:1477546133
Name:BARKSDALE, JOHN D (PHARMD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:D
Last Name:BARKSDALE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1914 SANDPIPER AVE
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:AR
Mailing Address - Zip Code:72745-8667
Mailing Address - Country:US
Mailing Address - Phone:479-250-9114
Mailing Address - Fax:844-793-1334
Practice Address - Street 1:2709 SE OTIS CORLEY DR STE 19
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-3410
Practice Address - Country:US
Practice Address - Phone:479-250-9114
Practice Address - Fax:844-793-1334
Is Sole Proprietor?:No
Enumeration Date:2005-08-29
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR08893183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist