Provider Demographics
NPI:1881916914
Name:ALLEN, BARBARA LANETTE (RPH)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:LANETTE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7807 SUDLEY RD
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-2805
Mailing Address - Country:US
Mailing Address - Phone:703-361-2416
Mailing Address - Fax:703-392-7661
Practice Address - Street 1:7807 SUDLEY RD
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-2805
Practice Address - Country:US
Practice Address - Phone:703-361-2416
Practice Address - Fax:703-392-7661
Is Sole Proprietor?:No
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202204399183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist