Provider Demographics
NPI:1730181058
Name:BARRETT, PAUL J (PHARMD, BCPS)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:J
Last Name:BARRETT
Suffix:
Gender:M
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 CANTERBURY ST
Mailing Address - Street 2:
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-3021
Mailing Address - Country:US
Mailing Address - Phone:207-764-8341
Mailing Address - Fax:
Practice Address - Street 1:140 ACADEMY ST
Practice Address - Street 2:
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-3180
Practice Address - Country:US
Practice Address - Phone:207-768-4157
Practice Address - Fax:207-768-4198
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR41431835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy