Provider Demographics
NPI:1386247260
Name:AMOS, BARBARA ALLEY (PHARMACY, RPH)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ALLEY
Last Name:AMOS
Suffix:
Gender:F
Credentials:PHARMACY, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 CHRISMAN MILL RD
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-5777
Mailing Address - Country:US
Mailing Address - Phone:540-250-7357
Mailing Address - Fax:
Practice Address - Street 1:550 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-1916
Practice Address - Country:US
Practice Address - Phone:540-381-1153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202206614183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0202206614OtherDEPT HEALTH PROFESSIONS
VA140816OtherNABP