Provider Demographics
NPI:1144352477
Name:BARKER, WENDY A (PHARMD)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:A
Last Name:BARKER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12161 FLORIS ROAD
Mailing Address - Street 2:
Mailing Address - City:FLORIS
Mailing Address - State:IA
Mailing Address - Zip Code:52560
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1025 N QUINCY AVE
Practice Address - Street 2:
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-3877
Practice Address - Country:US
Practice Address - Phone:641-683-4483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA19814183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist