Provider Demographics
NPI:1396236709
Name:BARKER, HELAINA (PHARM D)
Entity type:Individual
Prefix:
First Name:HELAINA
Middle Name:
Last Name:BARKER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30310 SOUTHFIELD RD APT 61B
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-1328
Mailing Address - Country:US
Mailing Address - Phone:248-229-1907
Mailing Address - Fax:
Practice Address - Street 1:5400 PERRY DR
Practice Address - Street 2:
Practice Address - City:WATERFORD TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48329-3461
Practice Address - Country:US
Practice Address - Phone:248-229-1907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-21
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302029630183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5302029630OtherSTATE OF MICHIGAN BOARD OF PHARMACY