Healthcare Provider Details

I. General information

NPI: 1134684178
Provider Name (Legal Business Name): ALITTA BARSCH PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2019
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1751 PATRICK DR
BURLINGTON KY
41005-7345
US

IV. Provider business mailing address

1751 PATRICK DR
BURLINGTON KY
41005-7345
US

V. Phone/Fax

Practice location:
  • Phone: 859-586-4692
  • Fax:
Mailing address:
  • Phone: 859-586-4692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03337196
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number019848
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number26027626A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: