Healthcare Provider Details

I. General information

NPI: 1174672877
Provider Name (Legal Business Name): PETER R BARSKI JR. PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3320 SE SALERNO RD
STUART FL
34997-6719
US

IV. Provider business mailing address

10909 SE HARKEN TERRACE
JUPITER FL
33469
US

V. Phone/Fax

Practice location:
  • Phone: 772-283-1714
  • Fax: 772-283-1790
Mailing address:
  • Phone: 561-743-3368
  • Fax: 772-283-1790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS34970
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: