Provider Demographics
NPI:1588375166
Name:BARNES, ANDREW RICHARD (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:RICHARD
Last Name:BARNES
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 HIGHWAY 80
Mailing Address - Street 2:
Mailing Address - City:HYDEN
Mailing Address - State:KY
Mailing Address - Zip Code:41749-8501
Mailing Address - Country:US
Mailing Address - Phone:606-672-3084
Mailing Address - Fax:
Practice Address - Street 1:130 HIGHWAY 80
Practice Address - Street 2:
Practice Address - City:HYDEN
Practice Address - State:KY
Practice Address - Zip Code:41749-8501
Practice Address - Country:US
Practice Address - Phone:606-672-3084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY023200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist