Provider Demographics
NPI:1063883502
Name:BARR, ALISHA LOUISE (PHARMD)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:LOUISE
Last Name:BARR
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 1:460 E NORTH BEND WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH BEND
Mailing Address - State:WA
Mailing Address - Zip Code:98045-8270
Mailing Address - Country:US
Mailing Address - Phone:425-888-2357
Mailing Address - Fax:425-831-1953
Practice Address - Street 1:460 E NORTH BEND WAY
Practice Address - Street 2:
Practice Address - City:NORTH BEND
Practice Address - State:WA
Practice Address - Zip Code:98045-8270
Practice Address - Country:US
Practice Address - Phone:425-888-2357
Practice Address - Fax:425-831-1953
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-09
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60553226183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist