Provider Demographics
NPI:1104616622
Name:FORBES, BARBARA LOUISE
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:LOUISE
Last Name:FORBES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 N COUNTY ROAD 325 W
Mailing Address - Street 2:
Mailing Address - City:SHELBURN
Mailing Address - State:IN
Mailing Address - Zip Code:47879-8374
Mailing Address - Country:US
Mailing Address - Phone:812-249-6789
Mailing Address - Fax:
Practice Address - Street 1:5555 S US HIGHWAY 41
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-4715
Practice Address - Country:US
Practice Address - Phone:812-299-2210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26013690A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist