Provider Demographics
NPI:1144866344
Name:BARR, DANIEL MONROE (RPH)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:MONROE
Last Name:BARR
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 1:228 EMS W17 LN
Mailing Address - Street 2:
Mailing Address - City:NORTH WEBSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46555-9507
Mailing Address - Country:US
Mailing Address - Phone:574-528-1647
Mailing Address - Fax:
Practice Address - Street 1:1309 N CASS ST
Practice Address - Street 2:
Practice Address - City:WABASH
Practice Address - State:IN
Practice Address - Zip Code:46992-1029
Practice Address - Country:US
Practice Address - Phone:260-563-1612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-22
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26014683183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist