Provider Demographics
NPI:1669528501
Name:SMITH, BARBARA A (RPH)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:SMITH
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 1:516 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:KS
Mailing Address - Zip Code:66733-1018
Mailing Address - Country:US
Mailing Address - Phone:620-244-3697
Mailing Address - Fax:620-244-5487
Practice Address - Street 1:511 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:KS
Practice Address - Zip Code:66733-1017
Practice Address - Country:US
Practice Address - Phone:620-244-3311
Practice Address - Fax:620-244-5487
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9305183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist