Provider Demographics
NPI:1730541921
Name:DYER, BARBIE (PHARMD)
Entity type:Individual
Prefix:
First Name:BARBIE
Middle Name:
Last Name:DYER
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 1:1051 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-1799
Mailing Address - Country:US
Mailing Address - Phone:919-567-9130
Mailing Address - Fax:919-567-1488
Practice Address - Street 1:1051 E BROAD ST
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-1799
Practice Address - Country:US
Practice Address - Phone:919-567-9130
Practice Address - Fax:919-567-1488
Is Sole Proprietor?:No
Enumeration Date:2016-03-25
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23142183500000X
OH03131873183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist