Provider Demographics
NPI:1386772671
Name:BARRY, DAVID J (RPH)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:BARRY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 INDEPENDENCE WAY
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-3653
Mailing Address - Country:US
Mailing Address - Phone:978-762-3154
Mailing Address - Fax:978-762-3154
Practice Address - Street 1:240 INDEPENDENCE WAY
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-3653
Practice Address - Country:US
Practice Address - Phone:978-762-3154
Practice Address - Fax:978-762-3154
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA20742183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist