Provider Demographics
NPI:1487936720
Name:BARNETT, JARRETT LEE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JARRETT
Middle Name:LEE
Last Name:BARNETT
Suffix:
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 1:2430 GARDEN HILL DR APT 204
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-6894
Mailing Address - Country:US
Mailing Address - Phone:252-560-9188
Mailing Address - Fax:252-257-5221
Practice Address - Street 1:126 E MACON ST
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:NC
Practice Address - Zip Code:27589-2018
Practice Address - Country:US
Practice Address - Phone:252-257-2922
Practice Address - Fax:252-257-5221
Is Sole Proprietor?:No
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21874183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist