Provider Demographics
NPI:1104117811
Name:BAROT, VISHAL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:VISHAL
Middle Name:
Last Name:BAROT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 RIVERWIND DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PEARL
Mailing Address - State:MS
Mailing Address - Zip Code:39208-5652
Mailing Address - Country:US
Mailing Address - Phone:601-914-4848
Mailing Address - Fax:601-292-7700
Practice Address - Street 1:200 RIVERWIND DR
Practice Address - Street 2:SUITE 201
Practice Address - City:PEARL
Practice Address - State:MS
Practice Address - Zip Code:39208-5652
Practice Address - Country:US
Practice Address - Phone:601-914-4848
Practice Address - Fax:601-292-7700
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2024-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MST010675183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist