Healthcare Provider Details

I. General information

NPI: 1306803861
Provider Name (Legal Business Name): BARFIELD ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 02/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5421 MAIN ST
GRANT AL
35747-8322
US

IV. Provider business mailing address

PO BOX 157 5421 MAIN ST
GRANT AL
35747-0157
US

V. Phone/Fax

Practice location:
  • Phone: 256-728-4217
  • Fax: 256-728-5603
Mailing address:
  • Phone: 256-728-4217
  • Fax: 256-728-5603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number104680
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number104680
License Number StateAL

VIII. Authorized Official

Name: MRS. NICOLE B. JONES
Title or Position: VICE-PRES
Credential: RPH
Phone: 256-728-4217