Healthcare Provider Details

I. General information

NPI: 1730181058
Provider Name (Legal Business Name): PAUL J BARRETT PHARM.D., B.C.P.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 11/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 ACADEMY ST
PRESQUE ISLE ME
04769-3180
US

IV. Provider business mailing address

132 CANTERBURY ST
PRESQUE ISLE ME
04769-3021
US

V. Phone/Fax

Practice location:
  • Phone: 207-768-4157
  • Fax: 207-768-4198
Mailing address:
  • Phone: 207-764-8341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPR4143
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: