MEDICARE: JOHN TODD BARRETT R.PH.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	7595	AR
2	183500000X	Pharmacist	7754	TN
3	183500000X	Pharmacist	E7804	MS

General Provider Information

NPI Number	:	1891233060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN TODD BARRETT R.PH.

Provider Business Mailing Address
First Line	:	200 TRACE COLONY PARK DR STE C
Second Line	:
City	:	RIDGELAND
State	:	MS
Zip	:	39157-8812
Country	:	US
Telephone Number	:	769-333-8805
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 TRACE COLONY PARK DR STE C
Second Line	:
City	:	RIDGELAND
State	:	MS
Zip	:	39157-8812
Country	:	US
Telephone Number	:	601-859-4342
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2017
Last Update Date	:	06/15/2026

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