Provider Demographics
NPI:1598975740
Name:WELLS, BARBARA G (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:G
Last Name:WELLS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 COUNTY ROAD 102
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-9617
Mailing Address - Country:US
Mailing Address - Phone:662-234-6465
Mailing Address - Fax:662-915-5118
Practice Address - Street 1:156 COUNTY ROAD 102
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-9617
Practice Address - Country:US
Practice Address - Phone:662-234-6465
Practice Address - Fax:662-915-5118
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNC32241835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric