Provider Demographics
NPI:1124840061
Name:CORSO, BARRY FRANCIS JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:FRANCIS
Last Name:CORSO
Suffix:JR
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 1:4229 INTRACOASTAL DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33487-4209
Mailing Address - Country:US
Mailing Address - Phone:561-251-4373
Mailing Address - Fax:
Practice Address - Street 1:1015 W NEWPORT CENTER DR
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-7740
Practice Address - Country:US
Practice Address - Phone:954-708-2771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS67762183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist