Provider Demographics
NPI:1932380763
Name:BARBER, LORI L (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:L
Last Name:BARBER
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 1:19 CENTRE DR
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-6553
Mailing Address - Country:US
Mailing Address - Phone:518-562-3565
Mailing Address - Fax:518-562-3853
Practice Address - Street 1:19 CENTRE DR
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-6553
Practice Address - Country:US
Practice Address - Phone:518-562-3565
Practice Address - Fax:518-562-3853
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2017-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047514183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist