Provider Demographics
NPI:1396347316
Name:LITTLE, BARBARA JOYCE (RPH)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:JOYCE
Last Name:LITTLE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 PARK PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:MS
Mailing Address - Zip Code:38652-3124
Mailing Address - Country:US
Mailing Address - Phone:662-534-1859
Mailing Address - Fax:662-534-3052
Practice Address - Street 1:202 PARK PLAZA DR
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:MS
Practice Address - Zip Code:38652-3124
Practice Address - Country:US
Practice Address - Phone:662-534-1859
Practice Address - Fax:662-534-3052
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-08009183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist