Provider Demographics
NPI:1700136025
Name:BARROW, CASEY D (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CASEY
Middle Name:D
Last Name:BARROW
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 1:164 HUNTERS CROSSING
Mailing Address - Street 2:
Mailing Address - City:NORTH AUGUSTA
Mailing Address - State:SC
Mailing Address - Zip Code:29841-0000
Mailing Address - Country:US
Mailing Address - Phone:803-341-9697
Mailing Address - Fax:
Practice Address - Street 1:101 EDGEFIELD RD.
Practice Address - Street 2:
Practice Address - City:NORTH AUGUSTA
Practice Address - State:SC
Practice Address - Zip Code:29841-0000
Practice Address - Country:US
Practice Address - Phone:803-279-7470
Practice Address - Fax:803-279-4791
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0101113183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist