Provider Demographics
NPI:1699114835
Name:BARTON, GREG KING (RPH)
Entity type:Individual
Prefix:
First Name:GREG
Middle Name:KING
Last Name:BARTON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:453 E WONDER VIEW AVE
Mailing Address - Street 2:1
Mailing Address - City:ESTES PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80517-9647
Mailing Address - Country:US
Mailing Address - Phone:970-586-5577
Mailing Address - Fax:970-586-0455
Practice Address - Street 1:453 E WONDER VIEW AVE
Practice Address - Street 2:1
Practice Address - City:ESTES PARK
Practice Address - State:CO
Practice Address - Zip Code:80517-9647
Practice Address - Country:US
Practice Address - Phone:970-586-5577
Practice Address - Fax:970-586-0455
Is Sole Proprietor?:No
Enumeration Date:2013-06-20
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9511183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist