Provider Demographics
NPI:1881775377
Name:GUIN, BARBARA R (OWNER)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:R
Last Name:GUIN
Suffix:
Gender:F
Credentials:OWNER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 NW 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:CARBON HILL
Mailing Address - State:AL
Mailing Address - Zip Code:35549
Mailing Address - Country:US
Mailing Address - Phone:205-924-4270
Mailing Address - Fax:205-924-9767
Practice Address - Street 1:341 NORTHWEST FIRST AVENUE
Practice Address - Street 2:
Practice Address - City:CARBON HILL
Practice Address - State:AL
Practice Address - Zip Code:35549
Practice Address - Country:US
Practice Address - Phone:205-924-4270
Practice Address - Fax:205-924-9767
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6404413183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0236960001Medicare ID - Type Unspecified