Healthcare Provider Details

I. General information

NPI: 1629468467
Provider Name (Legal Business Name): MISS BARBARA DRINKWATER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2015
Last Update Date: 02/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 LITITZ PIKE
LITITZ PA
17543-9327
US

IV. Provider business mailing address

304 LINDEN ST
LITITZ PA
17543-1916
US

V. Phone/Fax

Practice location:
  • Phone: 717-627-8251
  • Fax:
Mailing address:
  • Phone: 717-715-3400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: