Provider Demographics
NPI:1881986099
Name:BARNETTE, ZERYL WILSON (RPH)
Entity type:Individual
Prefix:MR
First Name:ZERYL
Middle Name:WILSON
Last Name:BARNETTE
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 1:7823 COLONY RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-7674
Mailing Address - Country:US
Mailing Address - Phone:704-341-3302
Mailing Address - Fax:704-341-3308
Practice Address - Street 1:7823 COLONY RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-7674
Practice Address - Country:US
Practice Address - Phone:704-341-3302
Practice Address - Fax:704-341-3308
Is Sole Proprietor?:No
Enumeration Date:2011-05-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND10867183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist