Provider Demographics
NPI:1811273204
Name:BARNAS, JOANNA (PHARMACIST)
Entity type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:
Last Name:BARNAS
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 FURLONG DR
Mailing Address - Street 2:T1942
Mailing Address - City:REVERE
Mailing Address - State:MA
Mailing Address - Zip Code:02151-4006
Mailing Address - Country:US
Mailing Address - Phone:781-922-6031
Mailing Address - Fax:781-922-6031
Practice Address - Street 1:36 FURLONG DR
Practice Address - Street 2:T1942
Practice Address - City:REVERE
Practice Address - State:MA
Practice Address - Zip Code:02151-4006
Practice Address - Country:US
Practice Address - Phone:781-922-6031
Practice Address - Fax:781-922-6031
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-29
Last Update Date:2011-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH27114183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist