Provider Demographics
NPI:1083449490
Name:BARBA, EMILY HAMPTON (PHARMD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:HAMPTON
Last Name:BARBA
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 1:8452 N LAKE DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-3423
Mailing Address - Country:US
Mailing Address - Phone:954-464-8140
Mailing Address - Fax:
Practice Address - Street 1:8452 N LAKE DR APT B
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-3354
Practice Address - Country:US
Practice Address - Phone:954-464-8140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90038183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist