Provider Demographics
NPI:1699060491
Name:BARNES, CATHERINE K (RPH)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:K
Last Name:BARNES
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 1:4604 PINEHURST DR N
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27896-9158
Mailing Address - Country:US
Mailing Address - Phone:252-237-7990
Mailing Address - Fax:252-753-3112
Practice Address - Street 1:4240 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FARMVILLE
Practice Address - State:NC
Practice Address - Zip Code:27828-9539
Practice Address - Country:US
Practice Address - Phone:252-753-2061
Practice Address - Fax:252-753-3112
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8434183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist