Provider Demographics
NPI:1144816091
Name:WERNER, BARBARA JEAN (BS, PHARMD, CGS)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:JEAN
Last Name:WERNER
Suffix:
Gender:F
Credentials:BS, PHARMD, CGS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 BEYER LN
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001-9280
Mailing Address - Country:US
Mailing Address - Phone:270-816-2789
Mailing Address - Fax:
Practice Address - Street 1:1021 W MAIN ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:KY
Practice Address - Zip Code:42445-1253
Practice Address - Country:US
Practice Address - Phone:270-365-4568
Practice Address - Fax:270-365-6292
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO043049183500000X
KY010579183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist